[Transvesical prostatic adenomectomy without a urethral catheter. Apropos of a continuous series of 200 cases].
200 transvesical prostatic adenomectomies were performed without urethral catheters between 1977 and 1984. Le Guillou's technique was employed. The catheter was removed after one week. 90% of the patients passed water immediately. The use of Le Guillou's technique was directly responsible for 1 death (iatrogenic mechanical anuria). 19 patients (9.5%) had to be trans urethrally catheterized of 2 to 8 days after the removal of the cystostomy tube. Long-term follow-up available in 148 of the patients showed 1 failure and 10 successfully treated complications. The advantages of Le Guillou's technique are: Reduced bleeding. Reduced postoperative infection. Virtual disappearance of urethral iatrogenic stenosis. Improved post-operative comfort. Simplification of post-operative nursing.
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Viville
D000368:Aged; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D011183:Postoperative Complications; D011470:Prostatic Hyperplasia / Q000601:surgery*; D013997:Time Factors
Adénomectomie prostatique transvésicale sans sonde urétrale. A propos d'une série continue de 200 cas.