[Modified Madigan prostatectomy].
OBJECTIVE
To improve Madigan prostatectomy (MPC) for a much satisfactory effect in open surgery.


METHODS
A total of 52 patients with benign prostatic hyperplasia (BPH) were treated using MPC. The MPC procedure was modified by exposing anterior prostatic urethra near the bladder neck and conjunction with cystotomy. This modified procedure preserved prostatic urethra intact and could also deal with intracystic lesions at the same time.


RESULTS
The intact of prostatic urethra was kept completely or almost for 48 cases. The hemorrhage amount during modified procedure was a less. The mean operative time was 120 minutes. The 35 patients had been followed up for 1 - 12 months. The average Qmax was 18.9 ml/s. The cystourethrography revealed that the urethra and bladder neck were intact in 8 patients postoperatively. Furthermore, the prostatic urethra was obviously wider after modified MPC.


CONCLUSIONS
The modified MPC can reduce the urethra injury and enlarge the MPC indications. The modified technique is easy to perform with little complications and much more satisfactory clinical result. The modified MPC is highly recommended.
Lü
Jun
J
Department of Urology, Guangzhou General Hospital, People's Liberation Army, Guangzhou 510010, China.
Cao
Qi-you
QY
Wang
Wei
W
Deng
Zhi-xiong
ZX
Huang
Xiao-ting
XT
Nie
Hai-bo
HB
Wang
Yuan-li
YL
Hu
Wei-lie
WL
He
Hui-xu
HX
Ye
Lin-yang
LY
D000368:Aged; D006801:Humans; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy / Q000379:methods*; D011470:Prostatic Hyperplasia / Q000601:surgery*