HAEMOSTATIC TECHNIQUE FOR SUPRAPUBIC PROSTATECTOMY | ||
| The Egyptian Journal of Surgery | ||
| Volume 24, Issue 3, July 2005, Pages 168-170 PDF (240.7 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejsur.2005.373132 | ||
| Author | ||
| Soliman M. Soliman* | ||
| Nation Prize Holder, Professor of Surgery, Military Medical Academy, Cairo, Egypt | ||
| Abstract | ||
| Aim: It is a haemostatic technique aiming at insertion of stitches in a special fashion to entangle the prostatic vessels at their anatomical sites before enucleation. The ureters are 100% safeguarded with the aid of Mannitol spirting diuresis test occlusion. Materials and Methods: Eighteen patients with benign prostatic hypertrophy B.P.H. have undergone the haemostatic technique Fig. 1 during the period 1999-2003 with an age range (58 – 81). The stitches are put in two circular insersions at 2 vertical levels 1 cm distal to the ureteric orifices at 5 and 7 O’clock positions; the sites of prostatic vessels (1, 2). The stitches are only tightened when the spirting Mannitol diuresis is maintained. This provides 100% protection against ureteral obstruction. Results: There is a remarkable reduction of intra and post-operative bleeding. This gives a unique chance for dissection under clear vision. The urinary sphincter is preserved and the bladder outlet is better cared of. None of the patients required blood transfusion intra-operatively. Conclusions: The haemostatic technique before enucleation has provided a Suprapubic Prostatectomy without hemorrhage and without entrapment of the ureters. | ||
| Keywords | ||
| Haemostatic stitches; Mannitol spirting diuresis; Prostatectomy | ||
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