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Eur Urol. 2006 Jan;49(1):127-31; discussion 131-2. Epub 2005 Nov 2.

Laparoscopic prostatectomy for benign prostatic hyperplasia--a six-year experience.

Author information

  • 1Hospital Moinhos de Vento, Rua Costa 30/sala 803, Porto Alegre 90110-270 RS, Brazil. mirandolino@terra.com.br

Abstract

PURPOSE:

The Authors present their results using laparoscopic prostatectomy in the treatment of large benign prostatic hyperplasia (BPH).

MATERIALS AND METHODS:

Between March 1999 and March 2005, 60 patients were submitted to laparoscopic prostatectomy with vascular control for large BPH. The demographic, operative period and outcome data were recorded.

RESULTS:

The average prostate weight was 144.50+/-41.74 gm. Mean operative time was 138.48+/-23.38 minutes and estimated blood loss of 330.98+/-149.52 ml. No patient required transfusions or conversion to open surgery. Post operative complications included one case of septicemia and three cases of prolonged ileum. The most frequent long-term complication was retrograde ejaculation, presented in all patients after 6 months of follow-up. The erectile function was preserved in all those patients who were potent before surgery. No urinary incontinence was reported by patients.

CONCLUSIONS:

The results demonstrate that resection of large prostatic adenomas can be performed with a laparoscopic approach. The patients had a shorter hospital stay and early return to normal activity.

PMID:
16314034
[PubMed - indexed for MEDLINE]
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