Seperation of dorsal vein complex from the urethra by blunt finger dissection during radical retropubic prostatectomy.
We present our initial experience on the isolation of dorsal vein complex by blunt finger dissection in 26 patients with localised prostate cancer who underwent open retropubic radical prostatectomy. Loss of blood was between 300 and 500 mL (mean 350 mL). Two of 26 patients (7.6%) required blood transfusion. There was no positive surgical margin at prostatic apex in the patients. Twenty four of our patients (92.4%) were continent on the 3(rd) month. Control of dorsal vein complex is very important to decrease blood loss and to improve intraoperative exposure of retropubic area in order to get negative margin of prostatic apex and to provide the urethra long enough for a nice urethrovesical anastomosis. According to our initial experience, this technique seems to provide these aims.
Department of Urology, Karabük University Faculty of Medicine, Karabük, Turkey.
Ali
A
Atan
Clinic of Urology, Ministry of Health Ankara Numune Research and Training Hospital, Ankara, Turkey.
Altuğ
A
Tuncel
Department of Urology, Gazi University Faculty of Medicine, Ankara, Turkey.
Fazlı
F
Polat
Clinic of Urology, Ministry of Health Ankara Numune Research and Training Hospital, Ankara, Turkey.
Melih
M
Balcı
Department of Urology, Gazi University Faculty of Medicine, Ankara, Turkey.
Süleyman
S
Yeşil
Clinic of Urology, Ministry of Health Ankara Numune Research and Training Hospital, Ankara, Turkey.
Ersin
E
Köseoğlu
Dorsal vein control; prostate cancer; radical prostatectomy