Prostatectomy in patients with bleeding disorders.
Urological surgery is becoming increasingly necessary in patients with acquired or congenital bleeding disorders. We reviewed the management of 10 such patients who required prostatectomy. The average age of the patients at operation was 65.7 years. Seven patients underwent transurethral prostatectomy and 3 underwent suprapubic prostatectomy. Postoperative bleeding occurred in 9 patients who required secondary procedures. Bleeding occurred an average of 13 days postoperatively. The mean hospital stay was 24 days. Partial thromboplastin time when determined was uniformly elevated in all patients preoperatively. The amount of factor and blood replacement is presented. Perioperative management of these patients is discussed in detail. A rational approach for the prevention of postoperative bleeding is presented.
Kirby
K
K
Division of Urology, University of North Carolina, Chapel Hill 27514.
Mesrobian
H G
HG
Fried
F
F
D000328:Adult; D000368:Aged; D001778:Blood Coagulation Disorders; D006470:Hemorrhage / Q000517:prevention & control*; D006488:Hemostasis, Surgical; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010314:Partial Thromboplastin Time; D011183:Postoperative Complications / Q000517:prevention & control*; D011184:Postoperative Period; D011468:Prostatectomy; D014842:von Willebrand Diseases