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 re-exploration 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.
| Published in | Journal of Surgery (Volume 5, Issue 2) |
| DOI | 10.11648/j.js.20170502.11 |
| Page(s) | 15-17 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2017. Published by Science Publishing Group |
Prostatectomy, Clot Retention, Millin’s Prostatectomy
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APA Style
M. Subrahmanyam, G. Vamshikrishna, G. Harikrishna. (2017). Retropubic Prostatectomy- Innovations to Reduce Complications Leading to Smooth Recovery. Journal of Surgery, 5(2), 15-17. https://doi.org/10.11648/j.js.20170502.11
ACS Style
M. Subrahmanyam; G. Vamshikrishna; G. Harikrishna. Retropubic Prostatectomy- Innovations to Reduce Complications Leading to Smooth Recovery. J. Surg. 2017, 5(2), 15-17. doi: 10.11648/j.js.20170502.11
AMA Style
M. Subrahmanyam, G. Vamshikrishna, G. Harikrishna. Retropubic Prostatectomy- Innovations to Reduce Complications Leading to Smooth Recovery. J Surg. 2017;5(2):15-17. doi: 10.11648/j.js.20170502.11
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Download@article{10.11648/j.js.20170502.11,
author = {M. Subrahmanyam and G. Vamshikrishna and G. Harikrishna},
title = {Retropubic Prostatectomy- Innovations to Reduce Complications Leading to Smooth Recovery},
journal = {Journal of Surgery},
volume = {5},
number = {2},
pages = {15-17},
doi = {10.11648/j.js.20170502.11},
url = {https://doi.org/10.11648/j.js.20170502.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20170502.11},
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 re-exploration 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.},
year = {2017}
}
TY - JOUR T1 - Retropubic Prostatectomy- Innovations to Reduce Complications Leading to Smooth Recovery AU - M. Subrahmanyam AU - G. Vamshikrishna AU - G. Harikrishna Y1 - 2017/03/20 PY - 2017 N1 - https://doi.org/10.11648/j.js.20170502.11 DO - 10.11648/j.js.20170502.11 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 15 EP - 17 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.20170502.11 AB - 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 re-exploration 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. VL - 5 IS - 2 ER -
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