UROLOGIC OPERATION 9 millins retropubic prostatectomy

Millin’s Retropubic Prostatectomy

Objective

In case BPH removal of prostate through the capsule of prostate without opening the bladder.

Position

Supine, Trendelenburg.

Anesthesia

Epidural or General.

Procedure

1.  Same as in transvesical upto opening transversalis fascia.

2.  Expose prostatic capsule retropubic.

3.  Incise prostatic capsule.

4.  Enucleate prostate.

5.  Close prostatic fascia after hemostasis.

6.  Leave self-retaining urethral catheter.

Instruments

•   General set

•   Prostatectomy set

•   Young boomerang needle (Fig. 11.12)

•   Millin suture holding forceps (Fig. 11.13)

•   Millin retractor (Fig. 11.14).

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