Preventive wire ligature of venae dorsales penis in radical retropubic surgery

The method of preventive hemostasis as suggested by authors is capable of safely arresting the blood leakage into the operation field from spatium Retzii especially in radical retropubic surgery. Retropubic radical surgery requires haemostasis of the dorsal penile veins. In extracapsular prostatectomy, adequate haemostasis permits a safe well controllable urethroyesical anastomosis, diminishing blood loss, shortening the operation time and reducing the risk of postoperative stricture and incontinence development. In cystoprostatectomy, preventive haemostasis reduces the blood loss due to protracted haemorrhage taking place during the neovesica construction and shortens the operation period. In looking for a method of effective preventive ligature of the venae dorsales penis we made use of the technique as described by Berger and Ireton (1). In our opinion, that method is rather complicated requiring and presents requirements for a special instrumentarium and therefore, we regard it as impracticable. Based on the principles of the above technique we elaborated a method of preventive haemostasis using a wire loop to compress both these superficial and the subfascial dorsal penile veins (2), which appears easy to perform with the ordinary equipment of any surgical and urological department.