The Madigan prostatectomy.
A total of 59 patients with bladder outflow obstruction underwent the Madigan prostatectomy. The method, results and complications are described. For select patients with large benign adenomas without a median lobe or hematuria we believe the technique to be the operation of choice, particularly in younger patients. Advantages include absence of postoperative hematuria and clot retention, a decreased requirement for blood transfusions, a 16F postoperative catheter with early removal, avoidance of post-catheter stricture, a low rate of postoperative urinary infection, a short comfortable period of hospitalization and, in the long term (median followup 6 years), preservation of potency and antegrade ejaculation.
Wycombe General Hospital, Buckinghamshire, United Kingdom.
A R
AR
Dixon
P H
PH
Lord
M R
MR
Madigan
D000368:Aged; D004542:Ejaculation / Q000502:physiology; D007172:Erectile Dysfunction / Q000517:prevention & control; D006417:Hematuria / Q000517:prevention & control; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000453:epidemiology; D011468:Prostatectomy / Q000379:methods*; D011470:Prostatic Hyperplasia / Q000150:complications / Q000601:surgery*; D012086:Reoperation; D014521:Urethra / Q000601:surgery; D001748:Urinary Bladder Neck Obstruction / Q000209:etiology; D014546:Urinary Catheterization; D014552:Urinary Tract Infections / Q000453:epidemiology