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[Trigonocervicoprostatomy. Indications and results from 100 case reports]
P L Guzmán Martínez-Valls1, R Ferrero Doria, J P Morga Egea
1Servicio de Urología, Hospital General Universitario de Murcia.
Actas Urologicas Espanolas
|December 10, 1999
Summary
Trigonocervicotomy offers a minimally invasive treatment for infravesical obstruction, preserving ejaculation in a higher percentage of patients. This technique demonstrates lower neck sclerosis rates and good efficacy in selected patients.
Area of Science:
- Urology
- Surgical Techniques
Context:
- Infravesical obstruction is a condition requiring effective treatment.
- Minimally invasive surgical options are increasingly preferred.
- Trigonocervicotomy, introduced in the 1960s, is one such technique.
Purpose:
- To evaluate the efficacy and outcomes of trigonocervicotomy in treating infravesical obstruction.
- To assess patient selection criteria for optimal trigonocervicotomy results.
Summary:
- Trigonocervicotomy is a minimally invasive procedure for infravesical obstruction.
- Careful patient selection based on age, sexual activity, PSA, and prostate weight (under 30g) is crucial.
- The study analyzed 100 patients, noting low morbidity, preserved ejaculation in a higher percentage of patients compared to other techniques, and lower rates of bladder neck sclerosis.
Impact:
- Trigonocervicotomy presents a viable option for infravesical obstruction with favorable functional outcomes.
- The technique's low morbidity and preservation of ejaculation contribute to improved patient quality of life.
- Further research can refine patient selection and expand the application of this surgical approach.