Related Experiment Video
Updated: Jun 1, 2026
07:17
Photoselective Vaporesection of the Prostate via an End-firing Lithium Triborate Crystal Laser
Published on: May 9, 2018
Venous thromboembolism after surgery for benign prostatic hyperplasia
1Department of Surgical Sciences, Section of Vascular Surgery, University Hospital, 751 85 Uppsala, Sweden. david.bergqvist@surgsci.uu.se
World Journal of Surgery
|May 21, 2011
Summary
Surgery for benign prostatic hyperplasia increases deep vein thrombosis risk, especially after open procedures. Heparin can reduce this risk following open surgery, but data on newer methods and transurethral resection is limited.
Area of Science:
- Urology
- Vascular Surgery
- Pharmacology
Background:
- Benign prostatic hyperplasia (BPH) is a common condition in aging men, often requiring surgical intervention.
- Venous thromboembolism (VTE), including deep vein thrombosis (DVT), is a known postoperative complication.
- The comparative risk of VTE across different BPH surgical techniques requires systematic evaluation.
Purpose of the Study:
- To systematically review the incidence of VTE after surgery for benign prostatic hyperplasia.
- To compare VTE risk between open surgery and transurethral resection (TUR) procedures.
- To assess the efficacy of thromboprophylaxis in reducing VTE after BPH surgery.
Main Methods:
- Systematic literature review of studies reporting VTE outcomes after BPH surgery.
- Analysis of DVT risk stratified by surgical approach: open surgery versus transurethral resection.
- Evaluation of available data on thromboprophylaxis (heparin) and antifibrinolytic agents.
Main Results:
- Deep vein thrombosis risk is 2-4 times higher after open surgery compared to transurethral resection for BPH.
- The VTE risk associated with newer transurethral techniques (laser, radiofrequency, heat) remains largely unknown.
- Limited studies suggest heparin thromboprophylaxis effectively reduces postoperative DVT incidence after open BPH surgery.
- Data on thromboprophylaxis following transurethral resection is scarce.
- Antifibrinolytic treatment for bleeding reduction does not appear to elevate thrombosis risk.
Conclusions:
- Open surgery for BPH carries a significantly higher risk of DVT than transurethral resection.
- Further research is needed to establish VTE risks and optimal thromboprophylaxis strategies for newer transurethral BPH procedures.
- Heparin is effective for DVT prevention in open BPH surgery, while antifibrinolytics seem safe regarding thrombosis.
Related Concept Videos
01:23Peripheral Artery Disease V: Postoperative Nursing Management
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
01:29Venous Thrombosis III: Interprofessional Care
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
01:30Venous Thrombosis I: Introduction
Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
01:30Venous Thrombosis IV: Nursing Management
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
01:29Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
01:22Aneurysm IV: Nursing Management
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...