[Transurethral low pressure prostatectomy. Technic, blood loss and water syndrome].
The new procedure for transurethral prostatectomy (TURP with physiologic low pressure irrigation and continuous aspiration of irrigant) reduces complication and mortality in respect to surgical prostatectomy: In 2.500 TURP clinical significant pulmonary embolism was not realised, mortality was 0.3%. The average blood loss was 238 cc. by a weight of 44.8 g, blood transfusion were necessary in only 4%. Low pressure TURP can be performed in most high risk patients, this is not true for open surgical prostatectomy, which has a rate of complications up to 25%. Postoperative recovery and late results are definitely improved by low pressure TURP, teaching is facilitated.
Holzwarth
F
F
Urologische Klinik, Stuttgart.
Reuter
M A
MA
Epple
W
W
Fürstenau
C
C
D000368:Aged; D000369:Aged, 80 and over; D001803:Blood Transfusion; D001810:Blood Volume; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D006874:Hydrostatic Pressure; D007431:Intraoperative Complications / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*; D011468:Prostatectomy / Q000379:methods*; D011470:Prostatic Hyperplasia / Q000601:surgery*; D007507:Therapeutic Irrigation / Q000379:methods
Die transurethrale Niederdruckprostatektomie. Technik, Blutverlust und Wassersyndrom.