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Simplified retropubic prostatectomy technique: faster and not more hemorrhagic
M Ghasem Mohseni1, S Modaresi, S R Hosseini
1Tehran University of Medical Sciences, Tehran, Iran.
Aim:
To report the technical feasibility of performing modified open prostatectomy.
Methods:
From July 2004 to May 2007, 103 patients suffering from benign prostatic hyperplasia were operated with this technique. We only used two wide transverse stay sutures at the anterior prostate surface and performed capsulotomy with electrocautery. We did not use the incision of endopelvic fascia, control of lateral pedicles or the transection of puboprostatic ligament. We analyzed the preoperative, operative and post operative data of these patients, prospectively.
Results:
The mean prostatic weight was 86g (range: 65-195). The mean operative time was 43 minutes (range: 36-52). The mean catheterization time was 5 days (range: 4-8). The mean hospital stay was 4 days (rang: 3-7). The mean decrease in the heamoglobin level from before to one day after the surgery was 1.3 g/dL. The estimated mean bleeding during the surgery was 423cc (range: 200-800cc). Post-operatively, 9 patients (8.7%) had mild urge incontinence.
Conclusion:
Our modified retropubic prostatectomy is a simple and efficient technique that can significantly reduce the operation time. In comparison to other techniques; we had no more significant bleedings and further decreases in hemoglobin level during the procedure.
