Transurethral prostatectomy in patients with severe hip deformity

Area of Science:

• Urology
• Surgical Techniques

Background:

• Transurethral prostatectomy is a standard treatment for benign prostatic hyperplasia.
• Severe hip disease can limit patient positioning for traditional surgical approaches.

Purpose of the Study:

• To describe a modified surgical technique for transurethral prostatectomy.
• To enable the procedure in patients with severe hip disease.

Main Methods:

• Modified lithotomy position adapted for hip limitations.
• Perineal urethrotomy as an access modification.
• Transurethral prostatectomy (TURP) performed with these modifications.

Main Results:

• Successful transurethral prostatectomy was achieved in patients with severe hip disease.
• The modified technique accommodated severe hip joint limitations.

Conclusions:

• A modified lithotomy position and perineal urethrotomy allow for transurethral prostatectomy in patients with severe hip disease.
• This approach expands surgical options for select patient populations.