General Mortality and Morbidity Statistics

The information published in these sections is compromised by the paucity of published reports of current morbidity and mortality statistics for open prostatectomy. Based on an analysis of 21 studies involving more than 25,000 patients published in 1994, the mean perioperative mortality for open prostatectomy is about 2.4% (range 0-5%) (21). The most commonly reported causes of death include myocardial infarction and pulmonary embolus (22,23).

What Does Prostatic Hypertrophy Mean

Fig. 25. Closure of the capsulotomy incision. The inverted U-shaped incision into the prostatic capsule can be closed with running or interrupted absorbable sutures. This figure also depicts the initial coaptation sutures used to reapproximate the levator muscles. A small Penrose drain will be placed before definitive wound closure and angled to one corner of the wound. The subcutaneous tissues are closed with interrupted or running absorbable sutures. The skin is closed with a subcuticular closure. (Reprinted with permission from ref. 19.)

Fig. 25. Closure of the capsulotomy incision. The inverted U-shaped incision into the prostatic capsule can be closed with running or interrupted absorbable sutures. This figure also depicts the initial coaptation sutures used to reapproximate the levator muscles. A small Penrose drain will be placed before definitive wound closure and angled to one corner of the wound. The subcutaneous tissues are closed with interrupted or running absorbable sutures. The skin is closed with a subcuticular closure. (Reprinted with permission from ref. 19.)

The incidence of nonlethal complications (perioperative morbidity) occurring within 90 d of surgery is approximately 21% (range 7- 42%) (2,22). The remainder of this section will highlight some of the more important complications encountered after open transvesical prostatectomy and simple perineal prostatectomy.

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