title: Feasibility of open simple prostatectomy with early vascular control.
abstract: OBJECTIVE
  To determine the feasibility of open simple prostatectomy with early vascular control in the treatment of benign prostate hyperplasia (BPH), and thus reduce blood loss.
  
  
  METHODS
  Thirty-seven patients were reviewed from 1991 to 2002; 34 had a Millin's and three a Freyer's prostatectomy performed by one surgeon, with early vascular control.
  
  
  RESULTS
  The mean operative duration was 1.3 h and the mean blood loss 841 mL, with a mean decrease in haemoglobin level of 22 g/L. Six (16%) of the patients received a blood transfusion. The mean weight of the prostate removed was 97.8 g; the duration of catheterization and the hospital stay after surgery were 6.21 and 11.7 days, respectively. There was one (3%) death and one case of pulmonary embolism. Three patients (8%) developed stress incontinence. Two failed to void after surgery and one developed acute retention 3 years later. Five patients developed recurrent obstructive symptoms.
  
  
  CONCLUSIONS
  Open simple prostatectomy with early vascular control reduces the amount of blood loss, rendering it a safe option for treating BPH.
authors.affiliation: Department of Urology, St. Vincent University Hospital, Dublin, Republic of Ireland. dnanmhs@hotmail.com
authors.forename: A
authors.initials: A
authors.lastname: Shaheen
authors.forename: D
authors.initials: D
authors.lastname: Quinlan
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D016063:Blood Loss, Surgical / Q000517:prevention & control; D002404:Catheterization; D005240:Feasibility Studies; D006801:Humans; D033162:Incidental Findings; D008297:Male; D008875:Middle Aged; D011470:Prostatic Hyperplasia / Q000601:surgery*; D011471:Prostatic Neoplasms / Q000175:diagnosis; D012189:Retrospective Studies; D020728:Transurethral Resection of Prostate / Q000379:methods*; D016896:Treatment Outcome