Retropubic prostatectomy in patients with long standing suprapubic cystostomy

ABSTRACT

Sixteen patients with gross urinary sepsis and anaemia who had been treated previously by permanent suprapubic drainage that was in adequately managed were subjected to retopubic prostatesectomy. One patient died from a coronary thrombosis. Five patients developed urinary fistulae which healed within a week of catherer drainage. Even where facilities are poor, a condition which obtains in many of the hospitals in this area, a permanent suprapubic cystostomy is never justified as definitive treatment for benign prostatic hypertrophy. The majority of patients can withstand a second stage prostatectomy. The results are rewarding (AU)