| ORIGINAL ARTICLE |
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| Year : 2000 | Volume
: 16
| Issue : 2 | Page : 122-125 |
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A clinical review of fifty consecutive cases of retropubic prostatectomy for benign prostatic hyperplasia
Vatsala D Trivedi, Mukund G Andankar, Sujata Salve-Satwekar
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
 Source of Support: None, Conflict of Interest: None  | Check |
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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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