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Large Hegar dilators as prostatic elevator during transurethral resection of the prostate
1Department of Surgery, UCLA School of Medicine.
The Urologic Clinics of North America
|February 1, 1990
Summary
Large Hegar dilators offer an alternative to finger manipulation for prostate access during surgery. They improve maneuverability and length, aiding surgeons in cases of obesity or hip arthritis.
Area of Science:
- Urology
- Surgical Techniques
Background:
- Prostate access during surgery can be challenging.
- Traditional methods may be limited by patient anatomy.
Purpose of the Study:
- To evaluate the utility of large Hegar dilators for prostate elevation.
- To assess their effectiveness as a substitute for digital rectal manipulation.
Main Methods:
- Utilized large Hegar dilators with an O'Conner rectal shield.
- Employed dilators to elevate the posterior prostate lobe for resectoscope access.
Main Results:
- Hegar dilators provide improved maneuverability and greater length compared to a finger.
- This technique is particularly beneficial for patients with obesity or hip arthritis.
Conclusions:
- Large Hegar dilators are a viable alternative for prostate access.
- They enhance surgical access in patients with limited rectal manipulation capabilities.