Clinical Analysis of Outcome and Complications of Madigan Prostatectomy for Benign Prostatic Hyperplasia

Objective To determine the clinical outcome of Madigan prostatectomy for benign prostatic hyperplasia and the causes of complications. Methods Madigan prostatectomy was performed to 48 patients with benign prostatic hyperplasia. The outcome of operation and postoperative complications were summarized and analyzed in comparison with the results of the cystoprostatectomy. Results The operation time of Madigan prostatectomy was longer, but the bleeding in operation, the mean volume of irrigating fluid used, the duration required urethral catheters and staying in hospital was significantly reduced (P0.05) and the other indexes showed no significant differences(P0.05). There were 31 cases of urethra injury occurred in operation and no case with significant influences on the outcome. The major complications of Madigan prostatectomy were bleeding and infection. Conclusions As an open surgery, Madigan prostatectomy is safe, efficient and economic for the patients with benign prostatic hyperplasia.