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Reoperation after suprapubic Analysis of the prostate
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Reoperation after suprapubic Analysis of the prostate
[Keywords:] prostatic hyperplasia and then suprapubic prostatectomy surgery Common prostatic hyperplasia in the elderly, drug treatment inaccurate, surgical treatment remains the most effective method. But various surgical techniques, have some complications, some patients need further surgery. In our hospital from 1999 to 2005 by suprapubic prostatectomy in 356 cases of benign prostatic hyperplasia. of which 21 cases re-operation, are as follows.
1 General Information 21 cases of reoperation in this group were 9 cases of bladder neck obstruction, 3 cases of surgical wound dehiscence, postoperative bleeding in 4 patients, urinary bladder stones in 4 cases, 1 case of recurrence of residual gland.
2 Results Bladder neck obstruction in 9 cases were transurethral resection, all patients dysuria symptom relief. Surgical wound dehiscence occurred in 3 patients after 6d, the entire emergency debridement two suture intraoperative 14d after suture removal, were healed. bleeding in 4 cases occurred within 36h after surgery, the bladder irrigation, increased three-cavity catheter, increased three-chamber water injection and water balloon catheter traction tension treatment of bleeding or coagulation the formation of the bladder, rapid return to the operating room, depending on the cause and take appropriate measures to stop the bleeding, no rebleeding. urethral calculi were confirmed by invasive bladder stone, an average follow-up no recurrence 3. gland residual recurrence in 1 case, the urethral resection of the prostate, removal of the gland were diagnosed as benign prostatic hyperplasia, were followed up for 3 years, no recurrence of urinary suffering.
3 Discussion Suprapubic prostatectomy treatment of benign prostatic hyperplasia in primary hospital is still the main method is effective, but 6.8% of patients hospitalized again for treatment of postoperative
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