Open AccessModified technique in Freyer′s prostatectomy to achieve hemostasis
Author(s) -
V. V. Shahapurkar,
Nishant Khare,
Avanish Deshmukh
Publication year - 2009
Publication title -
indian journal of urology/indian journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.333
H-Index - 30
eISSN - 1998-3824
pISSN - 0970-1591
DOI - 10.4103/0970-1591.56189
Subject(s) - medicine , balloon , foley catheter , hemostasis , surgery , prostatectomy , neck of urinary bladder , traction (geology) , catheter , balloon dilation , foley , balloon catheter , urinary bladder , prostate , cancer , geomorphology , geology
This study is an attempt to develop a technique by which complete hemostasis can be achieved on table by giving traction to the Foley's catheter thereby compressing the venous plexus and the avulsed prostatic arteries at the bladder neck by the inflated balloon. A total of 170 cases of BPH were operated by Freyer's Suprapubic Trans-vesicle prostatectomy. In the technique, bladder mucosa is reposited below the balloon and the balloon is inflated to 60 ml of normal saline. The balloon is kept at the bladder neck and traction is applied to the catheter. Traction is maintained by strapping the catheter to the thigh of the patient with sticking plaster for 24-48 h. The average blood loss was 18.9 ml which proves that the Foley's balloon pressure traction method at the bladder neck is effective in achieving hemostasis in patients undergoing open prostatectomy.