Modified technique in Freyer's prostatectomy to achieve hemostasis

Area of Science:

• Urology
• Surgical Innovation

Background:

• Benign Prostatic Hyperplasia (BPH) often necessitates surgical intervention.
• Open prostatectomy, such as Freyer's Suprapubic Trans-vesicle prostatectomy, carries a risk of significant intraoperative blood loss.
• Effective hemostasis is crucial for patient safety and surgical outcomes in BPH procedures.

Purpose of the Study:

• To develop and evaluate a novel technique for achieving complete intraoperative hemostasis during open prostatectomy.
• To minimize blood loss by utilizing Foley's catheter traction at the bladder neck.

Main Methods:

• A technique involving Foley's catheter traction was applied to 170 BPH patients undergoing Freyer's Suprapubic Trans-vesicle prostatectomy.
• The Foley's balloon was inflated to 60 ml with normal saline and positioned at the bladder neck.
• Traction was applied to the catheter and secured for 24-48 hours to compress the venous plexus and prostatic arteries.

Main Results:

• The Foley's balloon pressure traction method effectively achieved hemostasis in all patients.
• The average blood loss during surgery was significantly reduced, measuring only 18.9 ml.
• This demonstrates the efficacy of the technique in controlling bleeding at the bladder neck.

Conclusions:

• The Foley's balloon pressure traction technique is a safe and effective method for achieving hemostasis during open prostatectomy for BPH.
• This innovative approach offers a valuable tool for reducing blood loss and improving surgical outcomes.
• Further research can explore its applicability in other prostatectomy techniques.