[Vesicocapsuloplasty: technical variation of retropubic surgery for benign prostatic hypertrophy. Preliminary report]

To report a technical variation in the retropubic adenomectomy operation which improves the standards for this type of open surgery significantly.

We review the charts of the last 35 patients undergoing surgery with this technical variation, with a minimum follow-up of one year, following a pooled experience of 1033 cases of retropubic open surgery for BPH by the hemostatic transcervical adenomectomy technique.

During surgery this variation allows a better access to the prostatic bed facilitating direct haemostasis and search for adenoma remnants. In the same way it allows to perform prostate biopsies in those cases of BPH with PSA values over normal range and previous negative biopsies. Finally, "vesicalization" of the prostatic bed contributes to avoid post operative spasms and it would be the anatomical basis for avoidance of bladder neck retraction in the middle term. With all reservations implied in the application of a recent technical variation, the limited number of cases, and short follow-up, we may say that significant improvements have been seen in immediate standards such as intraoperative and postoperative blood loss, bladder spasms, post surgical analgesics requirements, and hospital stay reduction.