Suprapubic Prostatectomy with Special Reference to Penicillin Treatment

Update on minimally invasive surgery and benign prostatic hyperplasia

Transurethral resection of the prostate (TURP) became the gold standard surgical treatment for benign prostatic obstruction without undergoing randomized controlled trials against the predecessor standard in open suprapubic prostatectomy. TURP has historically been associated with significant morbidity and this has fuelled the development of minimally invasive surgical treatment options. Improv...

A modified technique of simple suprapubic prostatectomy: no bladder drainage and no bladder neck or hemostatic sutures.

INTRODUCTION Open prostatectomy is the conventional surgical treatment of benign prostatic hyperplasia. The major early complication of this procedure is bleeding. We introduce a technique of prostatectomy in order to prevent significant bleeding, reduce morbidity, and shorten convalescence and hospital stay periods. MATERIALS AND METHODS We enrolled 202 consecutive patients diagnosed with be...

Pseudosarcomatous fibromyxoid tumor of the prostate revealed on suprapubic prostatectomy

We report a rare case of inflammatory pseudotumor of the prostate revealed on suprapubic prostatectomy. A 70-year-old man presented with nocturia, urgency and difficulty in voiding. The histopathological examination of the suprapubic adenomectomy specimen reported fibromyxoid pseudosarcomatous tumor (inflammatory prostatic pseudotumor). It is important to take this benign lesion under considera...

Suprapubic Prostatectomy

The effects of Adding Meperidine to Heavy Intrathecal Lidocaine on Hemodynamic Changes and Blood Loss in Open Prostatectomy: A Randomized Double-Blind Clinical Trial

Background: Clinical investigations have reported several anesthetic properties of intrathecal injections of meperidine. The purpose of this study was to investigate the effect of adding meperidine to intrathecal heavy lidocaine on hemodynamic changes and blood loss in patients undergoing elective suprapubic open prostatectomy. Methods: In a randomized double-blind clinical trial, 77 pa...