Haemostatic prostatic adenomectomy

1,500 cases of retropubic adenomectomy with preventive ligation of the prostatic arterial pedicles and trigonisation of the posterior urethra are presented. The technical details are described. The mortality rate is 0.7%. One of the most frequent complications is pulmonary embolus, lethal in only 0.3% of the cases. In moderate and large adenomas, by the efficiency of haemostatic control and the quality of the late results, the procedure has given more satisfaction than other types of surgical or endoscopic adenomectomies.