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ORIGINAL ARTICLE
Year : 2000  |  Volume : 16  |  Issue : 2  |  Page : 122-125

A clinical review of fifty consecutive cases of retropubic prostatectomy for benign prostatic hyperplasia


Lokmanya Tilak Municipal General Hospital, Mumbai, India

Correspondence Address:
Vatsala D Trivedi
Department of Urology, Lokmanya Tilak Municipal Medical College, Sion, Mumbai - 400 022
India
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Source of Support: None, Conflict of Interest: None


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Objective: To present a clinical review of 50 consecu­tive retropubic prostatectomies done for large size glands at our institution from Jan. 1992 to Dec. 1998 and to clarify , the role of retropubic prostatectomy by modified Millin's technique. Material and Methods: 10% of the patients who needed intervention for benign prostatic hyperplasia were sub­jected to open retropubic prostatectomy by modified Millin's technique. The decision to subject the patient to open surgery was based on prostatic size detected by ab­dominal ultrasonography, digital rectal examination and cystoscopy. Results: The weight of the adenoma removed varied from 68 to 205 gms. Most of the patients voided with a good stream with little discomfort. One patient developed membranous urethral stricture postoperatively. Two pa­tients had incontinence of urine which improved subse­quently over a duration of 6 to 8 weeks. Conclusion: We feel open retropubic prostatectomy by modified Millin's technique has minimal morbidity and is a good alternative for large size glands in benign prostatic hyperplasia.


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