Safety and effectivity of open simple prostatectomy in octogenarians: A single center experience

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dc.contributor.authorKalfazade, Nadir
dc.contributor.authorGüner, Ekrem
dc.contributor.authorİnci, Ercan
dc.contributor.authorŞeker, Kamil Gökhan
dc.contributor.authorAyten, Ali
dc.contributor.authorAkkaş, Fatih
dc.contributor.authorTuğcu, Volkan
dc.date.accessioned2024-05-19T14:23:39Z
dc.date.available2024-05-19T14:23:39Z
dc.date.issued2023
dc.departmentİstinye Üniversitesien_US
dc.description.abstractObjective: This study aimed to investigate the safety and effectiveness of open simple prostatectomy (OSP) in patients older than 80 (i.e., octogenarians). Material and Methods: Patients who underwent OSP in our center between January 2012 and January 2018 constituted this study’s target population. The patients were evaluated by dividing the entire cohort into three age groups: 50-64, 65-79, and ?80. The study groups were compared regarding demographic features, preoperative clinical data, operative parameters, postoperative first-month and third-month uroflowmetric data, and short-term complication rates. Results: Preoperative persistent acute urinary retention and urethral catheterization rates were significantly higher in octogenarians than in the other patients. The groups were similar concerning intraoperative estimated blood loss, blood transfusion rates, Clavien-Dindo Class?3 complication rates and the general complication rate statistically. The comparative analysis revealed that the duration of catheterization was significantly longer in Group 2 and 3 than Group 1 (p=<0.001). The length of hospital stay was also significantly higher in octogenarians than the patients in Group 1 (p=0.003). Postoperative third-month IPSS valuee were significantly higher in octogenarians compared to the other groups (p=0.042). Conclusion: Although OSP is an effective and safe surgical treatment method in octogenarians, its effectiveness is limited compared to other groups in terms of urethral catheter duration, length of hospital stay and IPSS scores. Before OSP, each patient should be managed by an individualized approach for lowering the procedure-related morbidity and mortality rates.en_US
dc.identifier.doi10.33719/yud.2023;18-2-1185919
dc.identifier.endpage134en_US
dc.identifier.issn1305-2489
dc.identifier.issn2687-1955
dc.identifier.issue2en_US
dc.identifier.startpage124en_US
dc.identifier.trdizinid1183650en_US
dc.identifier.urihttps://doi.org/10.33719/yud.2023;18-2-1185919
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/1183650
dc.identifier.urihttps://hdl.handle.net/20.500.12713/4072
dc.identifier.volume18en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.relation.ispartofYeni Üroloji Dergisien_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmz20240519_kaen_US
dc.titleSafety and effectivity of open simple prostatectomy in octogenarians: A single center experienceen_US
dc.typeArticleen_US

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