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Feasibility of open simple prostatectomy with early vascular control
1Department of Urology, St. Vincent University Hospital, Dublin, Republic of Ireland. dnanmhs@hotmail.com
Objective:
To determine the feasibility of open simple prostatectomy with early vascular control in the treatment of benign prostate hyperplasia (BPH), and thus reduce blood loss.
Patients And Methods:
Thirty-seven patients were reviewed from 1991 to 2002; 34 had a Millin's and three a Freyer's prostatectomy performed by one surgeon, with early vascular control.
Results:
The mean operative duration was 1.3 h and the mean blood loss 841 mL, with a mean decrease in haemoglobin level of 22 g/L. Six (16%) of the patients received a blood transfusion. The mean weight of the prostate removed was 97.8 g; the duration of catheterization and the hospital stay after surgery were 6.21 and 11.7 days, respectively. There was one (3%) death and one case of pulmonary embolism. Three patients (8%) developed stress incontinence. Two failed to void after surgery and one developed acute retention 3 years later. Five patients developed recurrent obstructive symptoms.
Conclusion:
Open simple prostatectomy with early vascular control reduces the amount of blood loss, rendering it a safe option for treating BPH.