Open Journal of Urology, 2016, 6, 179-189 http://www.scirp.org/journal/oju ISSN Online: 2160-5629 ISSN Print: 2160-5440 DOI: 10.4236/oju.2016.612029 December 12, 2016 Open Prostatectomy in the Management of Benign Prostate Hyperplasia in a Developing Economy Abdulkadir A. Salako 1,2*# , Tajudeen A. Badmus 1,2 , Afolabi M. Owojuyigbe 3 , Rotimi A. David 2 , Chinedu U. Ndegbu 2 , Chigozie I. Onyeze 2 1 Department of Surgery, Faculty of Clinical Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria 2 Urology Unit, Department of Surgery, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria 3 Department of Anaesthesia and Intensive Care, Faculty of Clinical Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria Abstract Background: Open prostatectomy (OP) is still relatively common in developing countries and remains a useful benchmark against which the minimal access surgical techniques are compared. This study aims to document the indications and out- comes of OP in a typical developing economy. Method: The records of patients with benign prostate hyperplasia (BPH) who had OP in our university teaching hospital between July 2004 and June 2014 were retrospectively reviewed. Some analyzed pa- rameters include the demographic characteristics, indications, pre-operative work-up, anaesthetic techniques, OP type, complications, histopathology results and follow-up duration. Results: A total of 247 cases were studied. Mean age was 67 years while the commonest surgery indication was recurrent acute urinary retention. Average pros- tate specific antigen (PSA) was 8.4 ng/ml while hypertension was the most common co-morbidity (44.1%). Regional anaesthesia was mainly used (79.4%) while retro- pubic prostatectomy was the commonest OP type done (58.7%). The enucleated spe- cimen weighed above 60 g in 91.9% of cases. All our patients were able to micturate spontaneously with urine stream above 20 mls/second on follow-up one week after discharge. Mean duration of hospital admission and follow-up were 7 days and 9 months respectively. Complications occurred in 90 patients (36.4%), of which sur- gical site infections were the commonest (9.8%). There was 0.4% mortality. Histopa- thology results showed BPH (95.5%), (incidental) prostate adenocarcinoma (2.4%) or prostatic intra-epithelial neoplasia (2.1%). Conclusion: OP remains an important therapeutic option for management of BPH in developing countries partly due to relatively large prostate size and presence of BPH complications from late presenta- # GSM number: +2348033455165. How to cite this paper: Salako, A.A., Badmus, T.A., Owojuyigbe, A.M., David, R.A., Ndegbu, C.U. and Onyeze, C.I. (2016) Open Prostatectomy in the Management of Benign Prostate Hyperplasia in a Develop- ing Economy. Open Journal of Urology, 6, 179-189. http://dx.doi.org/10.4236/oju.2016.612029 Received: October 5, 2016 Accepted: December 9, 2016 Published: December 12, 2016 Copyright © 2016 by authors and Scientific Research Publishing Inc. This work is licensed under the Creative Commons Attribution International License (CC BY 4.0). http://creativecommons.org/licenses/by/4.0/ Open Access