TANG Xianfu, et al. Complications and prevention of subrapubic transvesical prostatectomy. [J]. Journal of Chongqing Medical University (2):242-244(2004)
TANG Xianfu, et al. Complications and prevention of subrapubic transvesical prostatectomy. [J]. Journal of Chongqing Medical University (2):242-244(2004) DOI: 10.13406/j.cnki.cyxb.2004.02.039.
Complications and prevention of subrapubic transvesical prostatectomy
Objective:To explore the etiology and prevention of common post-prostatectomy complications
including hemorrhage
wound infection
bladder detrusor muscle instability
incontinence and bladder neck contractures.Methods:The advanced prostatectomy techniques were performed on 114 BPH patients
including the deep 8-shaped suture of prostatic vessels
packet-shaped suture and slinging of bladder neck
a deep and wide V-shaped piece of tissue resected from the heightened posterior part of the bladder neck to avoid tear of the external urethral sphincter during operation period.A#22F three-way Foley urethral catheter for drainage and traction.A multiple hole rubber drain catheter was placed in retropubis
and was implanted 0.125% bupicarine was transfused into epidural continuously by patient controled epidural analgesia (PCEA) post-operatively.Results:Complication rate of patients treated with the above method decreased obviously( P <0.05).Conclusion:These data suggest that post-operation complications of BPH patients may be prevented.