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Suprapubic Prostatectomy


Presentation

  • Abstract Synchronous suprapubic prostatectomy and inguinal herniorrhaphy were performed on 12 patients who presented with benign prostatic hypertrophy and concurrent inguinal hernia(s).[ncbi.nlm.nih.gov]
  • Article / Publication Details Abstract Synchronous suprapubic prostatectomy and inguinal herniorrhaphy were performed on 12 patients who presented with benign prostatic hypertrophy and concurrent inguinal hernia(s).[karger.com]
Collapse
  • Male Reproductive System Prostate: Suprapubic Prostatectomy Click the section headings (in blue) to expand or collapse the content Guideline & Procedure: Suprapubic prostatectomy is an uncommon procedure which is performed for hyperplasia.[essentialpathology.info]
  • This ensures that the patient's external urethreal orifice is maintained in a collapsed state to minimize the migration of microorganisms or pathogens from accessing the operated site.[patents.google.com]
Falling
  • In the vesical neck closure group compared to the balloon catheter group more patients experienced catheters falling out prematurely, as well as more postoperative strictures and more cases of incontinence at followup 1 year later.[ncbi.nlm.nih.gov]
  • Your steri-strips will fall off over a two-week period; please let them fall off on their own rather than removing them. You can trim the edges of the steri-strips that have rolled up onto themselves if they bother you.[flinturology.com]
Anger
  • This caused a lot of anger and ill-feeling, both in America and in Leeds, whe re mention was made of the work of Fuller and McGill.[baus.org.uk]
Stupor
  • […] expansible A — HUMAN NECESSITIES A61 — MEDICAL OR VETERINARY SCIENCE; HYGIENE A61M — DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR[patents.google.com]
Neglect
  • Also, prostatic-specific antigen was neglected to be added to the variables and return to all patients or their charts was difficult for us.[urologyannals.com]
Urinary Incontinence
  • Postoperatively none of the patients with the novel catheter complained of significant irritative urinary symptoms, clot retention and true or stress urinary incontinence.[ncbi.nlm.nih.gov]
  • Complications of Suprapubic Prostatectomy Bleeding: re-exploration (transurethral coagulation) and/or blood transfusion are seldom necessary Rarely urinary incontinence Rarely erectile dysfunction Often retrograde ejaculation (80–90%) Urinary tract infections[urology-textbook.com]
  • Because the risk of injury to the external urinary sphincter is minimal with these procedures, stress urinary incontinence and total urinary incontinence are rare.[studynursing.blogspot.com]
  • Radical retropubic prostatectomy may also be used if prostate cancer has failed to respond to radiation therapy, but the risk of urinary incontinence is substantial.[en.wikipedia.org]
  • Urinary incontinence Up to half of all men who have a radical prostatectomy develop urinary incontinence , ranging from a need to wear urinary incontinence pads to occasional dribbling.[northshore.org]
Prostatic Disease
  • Because long-standing prostate disease may cause kidney problems from urine "backing up," it also is necessary to be sure that the kidneys are working properly. If not, a period of catheter drainage may be necessary before doing the surgery.[medical-dictionary.thefreedictionary.com]
  • "Epidemiology of radical prostatectomy for localized prostate cancer in the era of prostate-specific antigen: an overview of the Department of Defense Center for Prostate Disease Research national database".[en.wikipedia.org]
  • Specific problems related to their prostatic disease include an element of renal impairment, anaemia due to recurrent haematuria or urinary tract infection.[frca.co.uk]
Uremia
  • Patients with any coagulation disorder, chronic uremia and prostates more than 200 grams were decided to exclude from the study. Statistical analysis was done using one-way ANOVA test ( post hoc test of Tukey) in SPSS software, version 16.[urologyannals.com]

Workup

  • Workup Laboratory Studies Exclude prostate cancer before performing a prostatectomy in patients with symptomatic bladder outlet obstruction.[studynursing.blogspot.com]
Hemoglobin Decreased
  • The duration of operation, duration of hospital stay, intraoperative blood loss, hemoglobin decrease, and weight of resected prostate were recorded in both groups.[ncbi.nlm.nih.gov]
Abnormal Renal Function
  • The upper urinary tracts should be evaluated preoperatively in men with known renal disease, abnormal renal function, recurrent urinary tract infection, or hematuria.[abdominalkey.com]

Treatment

  • Rather the cost of treatment, the duration of hospitalization and the morbidity of treatment were reduced in these patients.[ncbi.nlm.nih.gov]
  • Indications for Suprapubic Simple Prostatectomy The most frequent indications for surgical treatment of benign prostatic hyperplasia are moderate to severe BPH symptoms, which cannot be alleviated with BPH medication (see section medical treatment of[urology-textbook.com]

Prognosis

  • Nursing Care Plans Nursing care planning for patients who underwent prostatectomy includes: maintaining homeostasis and hemodynamic stability, promoting comfort, preventing complications, and providing information about the procedure, prognosis, and treatment[nurseslabs.com]
  • Outlook (Prognosis) Many men recover in about 6 weeks. You can expect to be able to urinate as usual without leaking urine. References Han M, Partin AW. Simple prostatectomy: open and robot-assisted laparoscopic approaches.[pennstatehershey.adam.com]

Etiology

  • National Journal of Andrology 2009; 15(8): 738-741 PubMedID 19852279 Indexing Status Subject indexing assigned by NLM MeSH Asian Continental Ancestry Group; Ejaculation; Erectile Dysfunction /etiology; Humans; Incidence; Male; Prostatectomy /adverse effects[crd.york.ac.uk]
  • Impotence following radical prostatectomy: insight into etiology and prevention. J Urol 1982;128(3):492–497.[en.wikipedia.org]
  • Benign prostatic hyperplasia: etiology, pathophysiology, epidemiology, and natural history. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016:chap 103.[nlm.nih.gov]
  • Benign prostatic hyperplasia: etiology, pathophysiology, epidemiology, and natural history. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology . 11th ed. Philadelphia, PA: Elsevier; 2016:chap 103.[medlineplus.gov]

Epidemiology

  • Benign prostatic hyperplasia: etiology, pathophysiology, epidemiology, and natural history. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016:chap 103.[nlm.nih.gov]
  • Benign prostatic hyperplasia: etiology, pathophysiology, epidemiology, and natural history. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology . 11th ed. Philadelphia, PA: Elsevier; 2016:chap 103.[medlineplus.gov]
  • "Epidemiology of radical prostatectomy for localized prostate cancer in the era of prostate-specific antigen: an overview of the Department of Defense Center for Prostate Disease Research national database".[en.wikipedia.org]
  • Etiology, epidemiology, and natural history of benign prostatic hyperplasia. Urol Clin North Am. 2009; 36 :403–415. [ PubMed ] 4. AUA Practice Guidelines Committee AUA guideline on management of benign prostatic hyperplasia (2003).[ncbi.nlm.nih.gov]
Sex distribution
Age distribution

Pathophysiology

  • A review of the literature is presented, along with pathophysiology, diagnosis, and treatment.[ncbi.nlm.nih.gov]
  • […] resection, include (1) acute urinary retention; (2) recurrent or persistent urinary tract infections; (3) significant symptoms from bladder outlet obstruction not responsive to medical therapy; (4) recurrent gross hematuria of prostatic origin; (5) pathophysiologic[abdominalkey.com]
  • Benign prostatic hyperplasia: etiology, pathophysiology, epidemiology, and natural history. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016:chap 103.[nlm.nih.gov]
  • Benign prostatic hyperplasia: etiology, pathophysiology, epidemiology, and natural history. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology . 11th ed. Philadelphia, PA: Elsevier; 2016:chap 103.[medlineplus.gov]

Prevention

  • In an attempt to prevent this complication, an additional closure layer with perivesical fat was performed.[ncbi.nlm.nih.gov]
  • Caregivers will remove the catheter as soon as possible to help prevent infection. A constant flow of fluid may be put through your bladder catheter to flush out blood and prevent blood clots.[drugs.com]
  • Catheter patency is ensured, as well as care to prevent blockage or kinking of the drainage tubes. Accidental removal or dislodging of catheters is prevented.[medical-dictionary.thefreedictionary.com]

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