Minimally Invasive Transvesical ProstatectomyA Breakthrough in Surgical Precision

Innovative Surgical Approach

  • The study presents a 65-year-old patient with significant lower urinary tract symptoms (LUTS) and urinary retention due to a 110-gram prostate.
  • A 3.6 cm suprapubic incision allowed direct bladder access, minimizing trauma and hospital stay.
  • The procedure combined digital enucleation with endoscopic vascular control, reducing bleeding and ensuring a faster recovery.

Clinical Outcomes and Benefits

  • Operative blood loss was only 260 ml, significantly lower than traditional approaches.
  • Hemoglobin levels remained stable post-operation, reflecting effective hemostasis.
  • The patient experienced a short hospital stay (48 hours) with no complications.
  • Postoperative uroflowmetry showed improved urinary flow (25.5 ml/sec), indicating a successful outcome.

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