Study of Freyer‘s Prostatectomy in BPH with special reference to modified management plan (early removal of catheter) and haemorrhage

Dr Pankaj Singh; Dr Dinesh Pratap

Volume : VI, Issue : II, February - 2016

Study of Freyer‘s Prostatectomy in BPH with special reference to modified management plan (early removal of catheter) and haemorrhage

Dr Pankaj Singh, Dr Dinesh Pratap

Abstract :

Objective: This study was planned to remove penile catheter on 4th postoperative day and to asses urinary flow, unless it is contraindicated due to suprapubic leak and to evaluate th weight of resected tissue of Prostate. Methods: This study t a prospective follow–up study conducted on 186 patients. Patient was prepared for Transabdominal Ultrasonography. For this, the bladder was distended with fluid or Urine prior to the Ultrasonography. The transducer (usually 3.5–5.0 Mhz) was placed just superior to the symphysis pubis and angled caudally to visualize the prostate and volume of prostate was calculated by taking dimension longitudinal and transverse images were obtained to note the prostatic tissue surface, echotexture and volume. Results: Nearly one third of the patients were between 61–65 years (29%). The grade III weight of prostate in USG was in 37.1%.The median percentage of weight of tissue enucleated in MFP was more than 50% of Ultrasonographic weight. The bleeding that occurred during open prostatectomy peroperative which was on average in grade 1 was 32 ml and primary about 16 ml and there was no secondary hemorrhage. Preoperative bleeding was measured by counting the soaked gauge pieces. Conclusion: In modified postoperative management, penile catheter can be removed on 4th postoperative day without any unforeseen come shot hence making MFP further acceptable.