Clinical Results of Transurethral Resection for the Benign Prostatic Hypertrophy -Significance of Suprapubic Cystostomy before Transurethral Resection-.
- Author:
In Gi SEOUNG
;
Bo Hyun HAN
- Publication Type:Original Article
- Keywords:
benign prostatic hypertrophy;
suprapubic cystostomy;
transurethral resection
- MeSH:
Cystostomy*;
Drainage;
Operative Time;
Prostatic Hyperplasia*;
Transurethral Resection of Prostate;
Urinary Bladder
- From:Korean Journal of Urology
1987;28(5):634-638
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A clinical observation was made on 96 cases of transurethral resection for the benign prostatic hypertrophy, admitted during the period of 3 years from January 1984 to December 1986. Previous to the transurethral resection of prostate, the suprapubic cystostomy was accomplished in 38 cases among them and following advantageous results were obtained. 1. Suprapubic cystostomy before TURP provides better endoscopic vision by continuous flow of irrigating fluid to permit no interrupted resection. 2. By eliminating the time spent for evacuation of the bladder, eye accommodation and reestablishment of surgical land marks, it permits transurethral resection of larger gland, within recognized safety guidelines. 3. It tends to minimize and prevent absorptive complications by lessening intravesical pressure. 4. It decreases operative risk by lessening operative time and the volume of fluid absorbed. 5. It provides an alternative route of irrigation and drainage intraoperatively and postoperatively.