| An alternative minimally invasive technique for large prostates (>80 mL): transvesical prostatectomy through a 3-cm incision. | |
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MedLine Citation:
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PMID: 19896175 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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 cm(3) (mean 101 cm(3)). Surgery is performed as the standard transvesical prostatectomy but skin incision is much smaller (approximately 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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Authors:
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Vassilis Protogerou; Vassilis Argyropoulos; Kostas Patrozos; Panagiotis Tekerlekis; Athanassios Kostakopoulos |
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Publication Detail:
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Type: Journal Article Date: 2009-11-06 |
Journal Detail:
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Title: Urology Volume: 75 ISSN: 1527-9995 ISO Abbreviation: Urology Publication Date: 2010 Jan |
Date Detail:
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Created Date: 2010-01-29 Completed Date: 2010-02-22 Revised Date: 2011-04-14 |
Medline Journal Info:
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Nlm Unique ID: 0366151 Medline TA: Urology Country: United States |
Other Details:
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Languages: eng Pagination: 184-6 Citation Subset: IM |
Copyright Information:
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2010 Elsevier Inc. All rights reserved. |
Affiliation:
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Urological Department, IASO General Hospital, Athens, Greece. Vassilis_protogerou@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Humans Male Middle Aged Organ Size Prostatectomy / methods* Prostatic Hyperplasia / pathology*, surgery* Surgical Procedures, Minimally Invasive / methods Urinary Bladder |
| Comments/Corrections | |
Comment In:
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Urology. 2011 Mar;77(3):768; author reply 768-9
[PMID:
21377027
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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