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Bleeding during transurethral prostatectomy. Is preoperative blood request necessary?
Summary
Transurethral resection of the prostate (TURP) is a common surgery for benign prostatic hyperplasia. Blood transfusions are needed in 13% of TURP procedures, but routine preoperative blood requests are unnecessary.
Area of Science:
- Urology
- Surgical Complications
- Transfusion Medicine
Background:
- Transurethral resection of the prostate (TURP) is the standard surgical treatment for benign prostatic hyperplasia.
- Per- and postoperative bleeding are the most common complications associated with TURP.
Purpose of the Study:
- To determine the frequency of blood transfusions required following TURP.
- To evaluate the necessity of routine preoperative blood ordering for TURP procedures.
Main Methods:
- Analysis of all TURP operations performed in 1981 at the Urological Clinic, Danderyd Hospital.
- Review of transfusion data for patients undergoing TURP.
Main Results:
- Blood transfusion was administered in 13% of the analyzed TURP operations.
- The volume of blood transfused was generally small in cases requiring transfusion.
Conclusions:
- The rate of blood transfusion for TURP is relatively low.
- Routine preoperative blood ordering is not indicated for TURP, potentially reducing unnecessary resource utilization.