Document Detail

An alternative minimally invasive technique for large prostates (>80 mL): transvesical prostatectomy through a 3-cm incision.
MedLine Citation:
PMID:  19896175     Owner:  NLM     Status:  MEDLINE    
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.
Vassilis Protogerou; Vassilis Argyropoulos; Kostas Patrozos; Panagiotis Tekerlekis; Athanassios Kostakopoulos
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Publication Detail:
Type:  Journal Article     Date:  2009-11-06
Journal Detail:
Title:  Urology     Volume:  75     ISSN:  1527-9995     ISO Abbreviation:  Urology     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-01-29     Completed Date:  2010-02-22     Revised Date:  2011-04-14    
Medline Journal Info:
Nlm Unique ID:  0366151     Medline TA:  Urology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  184-6     Citation Subset:  IM    
Copyright Information:
2010 Elsevier Inc. All rights reserved.
Urological Department, IASO General Hospital, Athens, Greece.
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MeSH Terms
Aged, 80 and over
Middle Aged
Organ Size
Prostatectomy / methods*
Prostatic Hyperplasia / pathology*,  surgery*
Surgical Procedures, Minimally Invasive / methods
Urinary Bladder
Comment In:
Urology. 2011 Mar;77(3):768; author reply 768-9   [PMID:  21377027 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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