title: Present practice of thrombosis prophylaxis of radical prostatectomy in a European country: a Hungarian multicenter study.
abstract: Venous thromboembolism is a possible fatal complication after pelvic surgery. There is a lack of trials assessing the effect of prophylactic measures in urology. The aim of the study was to evaluate the practice of thrombosis prophylaxis in a Central European country. A questionnaire of performed radical prostatectomies, way of thrombosis prophylaxis and number of experienced thrombotic events was posted to all departments of urology in Hungary. With a response rate of 59%, 506 radical prostatectomies were reported. Low molecular weight heparin was administered by 100% of the departments. Graduated support stockings were applied by 37% of the patients. Early mobilization was the most common form of mechanic prophylaxis (57%). Thrombotic events were experienced in 1.4%, 0.2% were fatal. The thrombosis prophylaxis of patients undergoing radical prostatectomy is not unified. Due to the potential mortality of thrombotic complications it should be evaluated and prophylaxis should be recommended in urological guidelines.
authors.affiliation: Department of Urology, Medical and Health Science Center, University of Debrecen, Debrecen, Hungary.
authors.forename: Matyas
authors.initials: M
authors.lastname: Benyo
authors.forename: Jolan
authors.initials: J
authors.lastname: Harsfalvi
authors.forename: Gyorgy
authors.initials: G
authors.lastname: Pfliegler
authors.forename: Zsuzsanna
authors.initials: Z
authors.lastname: Molnar
authors.forename: Mihaly
authors.initials: M
authors.lastname: Muranyi
authors.forename: Tamas
authors.initials: T
authors.lastname: Jozsa
authors.forename: Tibor
authors.initials: T
authors.lastname: Flasko
mesh_terms: D004434:Early Ambulation; D005343:Fibrinolytic Agents / Q000008:administration & dosage*; D019538:Health Care Surveys; D006495:Heparin, Low-Molecular-Weight / Q000008:administration & dosage*; D006801:Humans; D006814:Hungary; D008297:Male; D010818:Practice Patterns, Physicians'; D011468:Prostatectomy / Q000009:adverse effects* / Q000401:mortality; D053828:Stockings, Compression; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome; D054556:Venous Thromboembolism / Q000209:etiology / Q000401:mortality / Q000517:prevention & control*
chemical_list: D005343:Fibrinolytic Agents; D006495:Heparin, Low-Molecular-Weight