Trocar cystostomy during transurethral prostatic resection

Mosegaard, Aage; Madsen, Paul O.

doi:10.1016/s0090-4295(74)80215-3

Cited by 16 publications

(4 citation statements)

References 12 publications

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“…Furthermore, the period of high pressure was twice as long as when the bladder was filled intermit tently [1]. This is probably the reason why some studies support [8][9][10] and others refute [6, 11 -13] the claim that suprapubic drainage reduces fluid absorption.…”

Section: Discussionmentioning

confidence: 99%

Large-Sized Bladders Reduce Intravesical Pressure and Fluid Absorption during TURP Using the Suprapubic Trocar

Zhang

Ekengren²,

Hahn³

1996

Urol Int

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We studied whether the height of the irrigating fluid bags above the operating table and the capacity of the bladder influence intravesical pressure and fluid absorption during transurethral resection of the prostate (TURP) when evacuation is performed with Reuter’s trocar. For this purpose, the intravesical pressure was recorded continuously, and the fluid absorption was measured by the ethanol method during 30 TURP procedures. The bags were placed between 60 and 95 cm above the operating table, and the bladder capacity was measured before surgery started. The results show that the bladder capacity, but not the bag height, correlated with the intravesical pressure and the fluid absorption. Large-sized bladders were associated with lower pressures and smaller absorption. Rapid absorption ( > 30 ml/min) occurred at a maximum pressure of 2–3 kPa and a mean pressure of between 1 and 2 kPa. In conclusion, the size of the bladder is important to the intravesical pressure and to the fluid absorption during TURP when using the suprapubic trocar.

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Section: Discussionmentioning

confidence: 99%

Large-Sized Bladders Reduce Intravesical Pressure and Fluid Absorption during TURP Using the Suprapubic Trocar

Zhang

Ekengren²,

Hahn³

1996

Urol Int

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“…± haben Lehren und Lernen erleichtert [7,9,20,24,32]. Während die Urologen früher das Verfahren überwiegend autodidaktisch erlernen muûten, haben zunächst die ¹Demonstrationsspioneª sowie später die Kamerasysteme die Einarbeitung entscheidend verbessern können.…”

Section: Methoden Zum üBen Transurethraler Technikenunclassified

Zur Entwicklung von Phantomen für „transurethrale“ Operationen

et al. 1997

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“…The fluid was then collected in a bucket placed on the floor. Trocar (n = 30) implied that a 16-Ch Reuter's trocar (K. Storz, Germany), connected to a 25-Ch tube, was used to evacuate the fluid via the suprapubic route (6,7).…”

Section: Study Groupsmentioning

confidence: 99%

“…However, bag heights of between 55 and 100 cm were associated with the same degree of fluid absorption in 2 studies, comprising 580 TURP patients, in which this rule was tested (4,5). Furthermore, reducing the pressure by continuous-flow irrigation has resulted in smaller fluid absorption in a few (6)(7)(8), but not all, studies (9)(10)(11).…”

mentioning

confidence: 99%