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Updated: Aug 11, 2026
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Surgical Treatment for Benign Prostatic Hyperplasia: Holmium Laser Enucleation of the Prostate (HoLEP).
Published on: March 6, 2018
Summary
This study presents a modified suprapubic-retropubic prostatectomy, a surgical technique offering advantages in reduced dissection, improved hemostasis, and simplified closure. Patients experienced shorter hospital stays with minimal blood loss, mortality, and morbidity.
Area of Science:
- Urology
- Surgical Innovation
Background:
- Open prostatectomy methods can involve extensive dissection and complex procedures.
- Achieving adequate hemostasis and simplifying prostatic urethra closure are key surgical challenges.
Purpose of the Study:
- To describe a modified suprapubic-retropubic prostatectomy technique.
- To highlight the advantages of this modified approach over existing open methods.
Main Methods:
- A modified suprapubic-retropubic prostatectomy was performed.
- The technique emphasizes minimal dissection and simultaneous access to the urethra, bladder neck, and bladder.
Main Results:
- The modified technique resulted in minimal anterior and lateral dissection.
- Near-complete hemostasis was achieved, and corrective procedures were simplified.
- Three-fourths of patients were discharged 8 days postoperatively.
- Blood loss, mortality, and morbidity rates were extremely low.
Conclusions:
- The modified suprapubic-retropubic prostatectomy offers significant advantages for open prostatectomy.
- This technique simplifies surgical steps, enhances hemostasis, and leads to faster patient recovery.
