Title: Modified Madigan prostatectomy: A direct approach to exposure the prostatic urethra(report of 12 cases)
Abstract: Objective To present and evaluate a new approach for Madigan prostatectomy. Me- thods On the study of resected hyperplastic prostates,a region without surrounding hyperplastic and fibromuscular tissue was found at the anterior prostatic urethra near the bladder neck.This bare part of the urethra could directly exposed after incising the prostatic capsule.Making the exposure and dissection of the posterior urethra much easier.12 cases of BPH underwent the modified Madigan prostatectomy with the use of this new approach. Results The average preoperative IPSS was 25.2,the Qmax 8.5ml/s.The posterior urethra was kept intact during surgery in 10 whereas there was a minor injury in 2.All the 12 have had a good urinary stream without complication.The average postoperarive IPSS has been 6.2,the average Qmax 19.2ml/s. Conclusions The above mentioned bare area of posterior urethra serves as a good anatomical mark during surgery making the exposure and dissection of the urethra much easier with less chance of injury to the urethra.
Publication Year: 2000
Publication Date: 2000-01-01
Language: en
Type: article
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