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BPH, retropubic simple prostatectomy

Joseph J Pariser, Vignesh T Packiam, Melanie A Adamsky, Gregory T Bales
The definitive treatment for symptomatic large volume (>80 mL) benign prostatic hyperplasia (BPH) is simple prostatectomy (SP). This can be performed by utilizing a retropubic, suprapubic, or a combined approach. The latter two approaches allow for the management of concomitant bladder diverticulum or stones through the same incision. Each approach affords unique technical strengths and weaknesses that must be considered in light of patient characteristics and concomitant pathology. SP allows for removal of the entire prostatic adenoma while obviating some of the neurovascular and continence issues that can arise from radical prostatectomy...
August 2016: Current Urology Reports
W M van Ulden-Bleumink, P G B Dom, B P M Ramakers, N P H van Adrichem
A pure leiomyoma of the prostate is a rare benign tumor. An 82-year-old man was referred to our urology department with gross hematuria and complete urinary retention. Examination revealed a benign prostatic hyperplasia. Transrectal ultrasound showed a prostate of 125 mL. Serum PSA was 1.9 µg/L. A simple retropubic prostatectomy was performed. Histopathological examination showed a pure leiomyoma of the prostate, without the presence of glandular prostate tissue. The diagnosis, characteristics, and treatment of this tumor are described...
2013: Case Reports in Urology
Tanet Thaidumrong, Danaiphand Akarasakul
BACKGROUND AND OBJECTIVE: At Rajavithi Hospital, open retropubic simple prostatectomy was started in 1985. The purpose of the present was to describe a surgical technique and early post-operative results of the first successful laparoscopic retropubic simple prostatectomy (LRSP) in Thailand. CASE REPORT: A 69-year-old Thai male presented with a chief complaint of refractory urinary retention. Digital rectal examination was performed with prostate gland of 4 finger breadths, firm consistency and smooth surface...
March 2013: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
Douglas E Sutherland, Deo S Perez, D Champ Weeks
PURPOSE: To validate the feasibility of robot-assisted simple retropubic prostatectomy (RSP) for men with severe benign prostatic hyperplasia (>80 g). PATIENTS AND METHODS: Institutional Review Board approval was not sought for this series. Men were offered RSP by two surgeons with a combined experience of >350 robot-assisted radical prostatectomies. The RSP replicated previously published robotic and laparoscopic techniques. Postoperative management consisted of continuous bladder irrigation and closed suction pelvic drainage without suprapubic catheterization...
April 2011: Journal of Endourology
Fei-ya Yang, Nian-zeng Xing, Jian-wen Wang, Jun-hui Zhang, Ying-lu Guo
OBJECTIVE: To explore the feasibility and superiority of retropubic extraperitoneal laparoscopic simple prostatectomy with prostatic urethra preservation to treat large volume benign prostatic hyperplasia(BPH) . METHODS: From January 2006 to August 2009, laparoscopic simple prostatectomy with prostatic urethra preservation was performed in 45 patients with symptomatic BPH,and the age of patients was 70.5+/-7.2 (range 47 to 83) years old. The transrectal ultrasound (TRUS) revealed BPH and calculated prostatic gland weight was 126...
August 18, 2010: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
M Ghasem Mohseni, S Modaresi, S R Hosseini, A Salavati
AIM: To report the technical feasibility of performing modified open prostatectomy. METHODS: From July 2004 to May 2007, 103 patients suffering from benign prostatic hyperplasia were operated with this technique. We only used two wide transverse stay sutures at the anterior prostate surface and performed capsulotomy with electrocautery. We did not use the incision of endopelvic fascia, control of lateral pedicles or the transection of puboprostatic ligament. We analyzed the preoperative, operative and post operative data of these patients, prospectively...
June 2010: Minerva Urologica e Nefrologica, the Italian Journal of Urology and Nephrology
Han Ki Yun, Joon Beom Kwon, Sung Ryong Cho, Jae Soo Kim
PURPOSE: Laparoscopic simple prostatectomy was recently developed to treat voluminous benign prostatic hyperplasia (BPH). We describe the surgical technique and assess the feasibility of laparoscopic simple prostatectomy through our early experience. MATERIALS AND METHODS: The medical records of 11 patients who underwent laparoscopic simple prostatectomy between March 2008 and January 2010 were retrospectively analyzed. The subjects were limited to the patients who satisfied the following conditions: prostate volume was at least 75 g, acute urinary retention repeatedly occurred or maximal flow rate (Qmax) was at most 10 ml/s, and International Prostate Symptom Score (IPSS) was at least 12...
May 2010: Korean Journal of Urology
Rene J Sotelo, Juan C Astigueta, Mihir M Desai, David Canes, Oswaldo Carmona, Robert J De Andrade, Otto Moreira, Roy Lopez, Alejandro Velásquez, Inderbir S Gill
OBJECTIVES: To report the first case and detailed technique of laparoendoscopic single-site (LESS) surgery simple prostatectomy for benign hypertrophy. METHODS: A 67-year-old man presented with acute urinary retention requiring catheterization. Serum prostate-specific antigen level was 5 ng/mL, and a biopsy revealed benign hypertrophy with a transrectal ultrasound volume estimation of 110 mL. LESS simple prostatectomy was performed using a single multilumen port inserted through a solitary 2...
September 2009: Urology
Lin-Yu Zhou, Jun Xiao, Hao Chen, Yu-Ping Zhu, You-Wen Sun, Qiang Xuan
OBJECTIVES: We assessed the feasibility of extraperitoneal laparoscopic prostatectomy in pilots in China. MATERIALS AND METHODS: Extraperitoneal laparoscopic retropubic prostatectomy has been performed in 45 patients with prostatic weight more than 60 g between May 2005 and May 2008. The laparoscopic approach was standard in all cases as follows: creation of a preperitoneal workspace, haemostatic control of lateral venous vesicoprostatic pedicles, transversal anterior incision of the prostate capsule, prostatic adenomectomy and retrieval of the specimen...
June 2009: World Journal of Urology
Bertram Yuh, Rajesh Laungani, Adam Perlmutter, Daniel Eun, James O Peabody, James L Mohler, Hans Stricker, Khurshid A Guru
INTRODUCTION/OBJECTIVE: Simple prostatectomy continues to be an effective surgical option for patients with symptomatic high volume benign prostatic hyperplasia. Recent trends towards minimally invasive urologic surgery, in particular for prostate cancer, have created surgical alternatives with additional potential benefits. We report on the feasibility of robot-assisted retropubic prostatectomy. MATERIALS AND METHODS: This series consists of three cases of simple prostatectomy performed through a robot-assisted retropubic (Millin) approach at two institutions...
June 2008: Canadian Journal of Urology
P M Ngugi, P W Saula
BACKGROUND: Open simple prostatectomy has long been associated with large blood losses; hence allogeneic blood transfusion in this procedure is a standard practice world over. A review of literature suggests significant association between perioperative blood loss accompanying open simple prostatectomy and certain patient factors. The shortage of blood and blood products in our blood transfusion centres as well as the alarming risks of transfusion reactions and disease dissemination demanded a review of these factors with the aim of reducing morbidity associated with peri-operative blood loss and blood transfusion...
September 2007: East African Medical Journal
J M Gaya Sopena, J Arce Gil, L Gausa Gascón, M Montlleó González, J Salvador Bayarri, H Villavicencio Mavrich
INTRODUCTION AND OBJECTIVES: to evaluate the frequency of reoperation caused by massive hematuria in the postoperation of open prostatectomy in benign prostatic hyperplasia (BHP) at our hospital. At the same time, we also want to evaluate the effectiveness and possible secondary effects of using transurethral approach to solve this surgical complications. MATERIAL AND METHODS: we analyzed retrospectively 540 open surgeries in benign prostatic hyperplasia, carried out from 1998 to 2005...
July 2007: Actas Urologicas Españolas
Marcos F Dall'Oglio, Miguel Srougi, Alberto A Antunes, Alexandre Crippa, José Cury
OBJECTIVE: To compare two techniques of open prostatic adenectomy (OPA) for controlling bleeding, as OPA is the most effective surgical method for alleviating obstructive symptoms related to benign prostatic hyperplasia (BPH) but there is always a risk of peri-operative bleeding. PATIENTS AND METHODS: The study comprised a prospective and randomized analysis of 62 men with BPH who consecutively had OPA between January 2002 and September 2004. Two techniques were used: in group 1, patients had the Millin modified retropubic prostatectomy, and in group 2 they had a classical transvesical prostatectomy...
August 2006: BJU International
René Sotelo, Massimiliano Spaliviero, Alejandro Garcia-Segui, Waleed Hasan, John Novoa, Mihir M Desai, Jihad H Kaouk, Inderbir S Gill
PURPOSE: Open retropubic simple prostatectomy is occasionally performed for symptomatic, large volume benign prostatic hyperplasia. We describe the technique of laparoscopic simple retropubic prostatectomy. MATERIALS AND METHODS: Since August 2001 at our 2 institutions laparoscopic simple retropubic prostatectomy has been performed in 17 patients with symptomatic significant prostatomegaly on transrectal ultrasonography (60 gm or greater, mean 93). Essential aspects of our 5 port technique are transverse cystotomy just proximal to the prostatovesical junction, subcapsular plane development, prostatic adenomectomy, prostatic fossa trigonization and prostatic capsule suture repair...
March 2005: Journal of Urology
Dong Wei, Ben Wan, Meixiong Huang, Chunzhi Lu, Yanqun Na, Enze Zou
OBJECTIVE: To evaluate the effect of simultaneous open prostatectomy and preperitoneal inguinal herniorrhaphy. METHODS: Twenty-one patients with benign prostatic hyperplasia(BPH) and inguinal hernia, underwent simultaneous suprapubic or retropubic prostatectomy and preperitoneal inguinal herniorrhaphy through Pfannenstiel's incision. In 4 cases with bigger inguinal mass, hernia repair was performed with polypropylene meshwork (PPM). RESULTS: The 21 patients were followed up for 6 months to 7 years...
February 2004: Zhonghua Nan Ke Xue, National Journal of Andrology
Jonathan E Bernie, Joseph D Schmidt
PURPOSE: Experience with simple perineal prostatectomy has not been well described in the recent literature. We describe our operative technique and compare objective demographic, preoperative, intraoperative and postoperative parameters in patients undergoing open prostatectomy for benign prostatic hyperplasia via 3 routes, namely perineal, retropubic, and suprapubic. MATERIALS AND METHODS: We retrospectively reviewed all cases of open prostatectomy at Veterans Affairs Medical Center, San Diego between August 2001 and September 2002...
July 2003: Journal of Urology
Allen F Morey, R Clayton McDonough, William S Kizer, John P Foley
PURPOSE: We present our preliminary experience with liquid fibrin sealant during simple retropubic prostatectomy. MATERIALS AND METHODS: We reviewed 18 consecutive simple retropubic prostatectomies performed for symptomatic advanced benign prostatic hyperplasia at our institution between 1997 and 2001. Adenoma enucleation was performed via transverse anterior prostatic capsulotomy. In the first 13 cases (group 1) a Jackson-Pratt suction drain was placed in the pelvis after prostatic capsular closure...
August 2002: Journal of Urology
H Iwaki, Y Kajita, Y Shimizu, T Yamauchi
We compared the usefulness of PSA and PSA density (PSAD) in diagnosing prostate cancer in 102 men who had a PSA value higher than 4.0 ng/ml and normal digital rectal examination and who had undergone transrectal ultrasonography-guided systematic sextant biopsies of the prostate between August 1996 and October 1999. In addition, for a group of 53 patients who underwent retropubic simple prostatectomy, PSA, PSAD and PSA transition zone (PSA-TZ) examination results for those with stage A prostate cancer were compared with the results for those with benign prostatic hyperplasia (BPH)...
March 2001: Hinyokika Kiyo. Acta Urologica Japonica
H Lepor, D I Gup, M Baumann, E Shapiro
The objective of this study was to compare the binding and functional properties of alpha 1 adrenoceptors in prostate capsules obtained from men with symptomatic and asymptomatic benign prostatic hyperplasia (BPH) undergoing simple retropubic prostatectomy and cystoprostatectomy respectively. Saturation experiments using 125I-Heat demonstrated that the density and binding affinity of alpha 1 adrenoceptors in the prostate capsules obtained from men with symptomatic and asymptomatic BPH were similar. Non-cumulative dose response experiments using phenylephrine demonstrated that the magnitude of the contractile response to phenylephrine was 4-fold greater in the prostate capsules from men with symptomatic BPH than from those with asymptomatic BPH...
May 1991: British Journal of Urology
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