Modification of Technique for Retropubic Prostatectomy: Report Of 100 Cases

Dettmar, H

doi:10.1016/s0022-5347(17)66069-5

Cited by 3 publications

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“…Recognising the marked vascularity of the prostate and the excessive bleeding that might occur during surgery, many authors have modified the original technique described by Millin's [6]. Dettmar [12] described continuous sutures of the edges of bladder neck to achieve complete separation of the bladder cavity from prostatic bed thereby preventing blood entering the bladder leading to clot retention. The value of ligation of dorsal vein complex and lateral pedicles have made it possible to perform the enucleation of adenoma in an almost bloodless field avoiding the need for blood transfusion, as described by Walsh et al [8].…”

Section: Discussionmentioning

confidence: 99%

Retropubic Prostatectomy- Innovations to Reduce Complications Leading to Smooth Recovery

Subrahmanyam¹,

Vamshikrishna²,

Harikrishna³

2017

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Abstract:Introduction: Open prostatectomy/adenoma enucleation remains a valuable surgical option in treating large obstructing prostates in patients with large gland volume. We report our series of retropubic prostatectomies with innovative methods to reduce the complications and lead to smooth recovery. Patients and Methods: A total of 75 patients with B PH were treated by retropubic prostatectomy from 2005 to 2015. Patient's demographical, clinical, pre-and postoperative data and final histology were recorded. 3 way Foley's catheter before surgery was kept in the bladder and haemostasis was obtained by applying traction over the prostatic fossa. Results: The mean weight of prostatic adenoma was 82 gm., the smallest being 70gm. and the largest 192gm. Only 2 patients required intra operative blood transfusion. The catheter was removed on the 5th post-operative day. 94% of the patients voided with a good stream with little discomfort after one week. only one patient had incontinence of urine which improved subsequently over a period of 6 to 8 weeks. There was no mortality and no reexploration for clot retention was required in any patient, Conclusion: Millin's prostatectomy popularized over half a century ago continues to be a valuable option for the surgical treatment of high-volume prostate glands with excellent outcomes for patients with innovative methods.

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Section: Discussionmentioning

confidence: 99%

Retropubic Prostatectomy- Innovations to Reduce Complications Leading to Smooth Recovery

Subrahmanyam¹,

Vamshikrishna²,

Harikrishna³

2017

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Re: Extraperitoneal Laparoscopic Millin Prostatectomy Using Finger Enucleation

Shah

2012

Journal of Urology

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Hystory of Introduction of Retropubic Simple Prostatectomy in Patients with Benign Prostatic Hyperplasia

Горовий

Шапринський

Baralo

et al. 2020

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Вінницька обласна клінічна лікарня ім. м.І. Пирогова 2 Вінницький національний медичний університет ім. м.І. Пирогова У статті представлено етапи впровадження залобкової простатектомії при хірургічному лікуванні доброякісної гіперплазії простати як закордонними, так і вітчизняними урологами, починаючи від виконання відкритого втручання до малоінвазивної лапароскопічної та роботизованої техніки. Ключові слова: залобкова простатектомія, доброякісна гіперплазія простати. Hystory of introduction of retropubic simple prostatectomy in patients with benign prostatic hyperplasia

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Modification of Technique for Retropubic Prostatectomy: Report Of 100 Cases

Cited by 3 publications

References 0 publications

Retropubic Prostatectomy- Innovations to Reduce Complications Leading to Smooth Recovery

Retropubic Prostatectomy- Innovations to Reduce Complications Leading to Smooth Recovery

Re: Extraperitoneal Laparoscopic Millin Prostatectomy Using Finger Enucleation

Hystory of Introduction of Retropubic Simple Prostatectomy in Patients with Benign Prostatic Hyperplasia

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