Transvesical Prostatectomy
Objective
In case of benign enlargement of the prostate:
• Opening of the bladder
• Removal of prostate.
Position
Supine.
Anesthesia
Epidural or General.
Procedure
1. Fill the bladder with sterile saline.
2. Four inch midline subumbilical incision.
3. Rectus sheath opened.
4. Exposed trasnversalis fascia opened.
5. Peritoneum pushed upwards.
6. Stay sutures (two) in bladder wall.
7. Bladder opened.
8. Vein sutured the procedure upto this step is a suprapubic cystostomy.
9. Anterior commissure of prostate split with index finger.
10. Plane found and prostate lobe shelled out.
11. Hemostasis obtained.
12. Self-retaining suprapubic and urethral catheter left in place.
13. Bladder closed in two layers around suprapubic catheter.
Instruments
• General set
• Prostatectomy set.
Any questions be sent to drmmkapur@gmail.com
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