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Wiley InterScience | |||||||||||||||
  BJU InternationalVolume 93 Issue 3, Pages 349 - 352 Published Online: 4 Feb 2004 © 2010 BJU International
Abstract | References | Full Text: HTML, PDF (Size: 66K) | Related Articles | Citation Tracking  Feasibility of open simple prostatectomy with early vascular control Copyright 2004 BJU INTERNATIONAL KEYWORDS benign prostatic hyperplasia • open simple prostatectomy • early vascular control OBJECTIVE
To determine the feasibility of open simple prostatectomy with early vascular control in the treatment of benign prostate hyperplasia (BPH), and thus reduce blood loss. PATIENTS AND METHODSThirty-seven patients were reviewed from 1991 to 2002; 34 had a Millin's and three a Freyer's prostatectomy performed by one surgeon, with early vascular control. RESULTSThe mean operative duration was 1.3 h and the mean blood loss 841 mL, with a mean decrease in haemoglobin level of 22 g/L. Six (16%) of the patients received a blood transfusion. The mean weight of the prostate removed was 97.8 g; the duration of catheterization and the hospital stay after surgery were 6.21 and 11.7 days, respectively. There was one (3%) death and one case of pulmonary embolism. Three patients (8%) developed stress incontinence. Two failed to void after surgery and one developed acute retention 3 years later. Five patients developed recurrent obstructive symptoms. CONCLUSIONOpen simple prostatectomy with early vascular control reduces the amount of blood loss, rendering it a safe option for treating BPH. Accepted for publication 2 September 2003 | 
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