Premium
AN EVALUATION OF RETROPUBIC VESICAL CAPSULAR PROSTATECTOMY WITH ROUTINE Y–V CLOSURE IN 103 PATIENTS
Author(s) -
SHARGEL GEORGE
Publication year - 1966
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1966.tb09753.x
Subject(s) - medicine , surgery , radical retropubic prostatectomy , prostatectomy , neck of urinary bladder , cystostomy , urination , urology , urinary bladder , prostate , urinary system , cancer , endocrinology
SUMMARY 1. Retropubic combined vesical capsule prostatectomy with routine Y–V closure is a safe and simple surgical procedure applicable to all age groups and any type of lesion obstructing the vesical neck. Its advantages are as follows:– Minimal morbidity. Low mortality–2 per cent. Short post–operative hospitalisation–eight days. Absence of late vesical neck stenosis post–operatively. Excellent control of bleeding during surgery. Quick and permanent conversion of patient to normal pain–free micturition with sterile urine. Requires no special instruments. Allows early ambulation. Permits relatively early removal of urethral catheter–three to five days. Can be done in obese patients. 2. Post–operative voiding cystograms and panendoscopy one year following surgery have revealed no late contracture of the vesical neck and minimal regrowth of the residual prostatic tissue. We feel that this is an interim report and final conclusions will be obtained in a five–year period on a larger series of patients. 3. This operation, although not recommended for cases where open cystostomy has been performed, offers the urologist an added weapon to deal effectively with a common problem.