An Alternative Minimally Invasive Technique for Large Prostates (>80 mL): Transvesical Prostatectomy Through a 3-cm Incision - 20/08/11
, Vassilis Argyropoulos a, Kostas Patrozos a, Panagiotis Tekerlekis a, Athanassios Kostakopoulos a
Reprint requests: Vassilis Protogerou, M.D., Urological Department, IASO General Hospital, 264 Mesogeion Ave, Athens, GreeceRésumé |
Objectives |
To assess the efficacy and the simplicity of a modified open transvesical prostatectomy for large prostates (>80 mL).
Methods |
A total of 165 patients with benign prostatic hyperplasia were treated with transvesical prostatectomy through a 3-cm incision. Prostate size was 85-144 cm3 (mean 101 cm3). Surgery is performed as the standard transvesical prostatectomy but skin incision is much smaller (proximately 3 cm), whereas muscle incision underneath is about 7 cm long. Prostate adenoma was removed with finger dissection without the placement of hemostatic sutures.
Results |
Operation time was 15-36 minutes (mean 24 minutes). Catheter was removed on the third day and patients left the hospital after successful voiding. Preoperative hematocrit was 40.6-49.2 (mean 43.4), while postoperative hematocrit was 28.3-42.4 (mean 38.3). Transfusion rate was 0-3 blood units (mean 1 U). Mean preoperative flow was 11.5 cm/s and mean postoperative flow was 22.3 cm/s. Mean IPSS score improve from 28 preoperatively to 15 postoperatively.
Conclusions |
Open transvesical prostatectomy with a 3-cm incision is a minimally invasive technique for the treatment of large prostates (>80 mL) in which transurethral prostatectomy or laser prostatectomy may not be the first choice.
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Vol 75 - N° 1
P. 184-186 - janvier 2010 Retour au numéro
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