title: Perivesical fat closure during suprapubic prostatectomy: does it prevent urinary leakage? A prospective randomized study.
abstract: Urinary leakage from the operative wound may be a troublesome complication after suprapubic prostatectomy. In an attempt to prevent this complication, an additional closure layer with perivesical fat was performed. Eighty-nine patients who underwent suprapubic prostatectomy were prospectively randomized into two groups: 45 patients without fat closure and 44 with perivesical fat closure. Patients in both groups were comparable with respect to their preoperative risk factors (urinary tract infection, cystolithiasis, incidental malignancy of bladder or prostate) for bladder healing. Six patients from the first group (13.3%) and one patient from the second group (2.2%) had postoperative urinary leakage (p = 0.06). Perivescical fat closure seems to have a protective effect against urinary leakage from bladder after suprapubic prostatectomy.
authors.affiliation: Department of Urology, Lady Davis Carmel Medical Center, Haifa, Israel.
authors.forename: A
authors.initials: A
authors.lastname: Stein
authors.forename: R
authors.initials: R
authors.lastname: Ratzkovitzki
authors.forename: A
authors.initials: A
authors.lastname: Lurie
mesh_terms: D000273:Adipose Tissue; D000368:Aged; D000369:Aged, 80 and over; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology / Q000517:prevention & control*; D011446:Prospective Studies; D011468:Prostatectomy / Q000009:adverse effects / Q000379:methods*; D011470:Prostatic Hyperplasia / Q000601:surgery; D012307:Risk Factors; D013524:Surgical Flaps / Q000379:methods*; D016896:Treatment Outcome; D014549:Urinary Incontinence / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control*