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Retrigonization of the bladder neck and its influence on the prostatic cavity after prostatectomy

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Abstract

Retrigonization of the bladder neck consists in suturing the posterior lip of the bladder neck to the posterior wall of the prostatic cavity near the urethral stump.

An evaluation of retrigonization was made on the basis of a comparison of results obtained in 101 patients operated for adenoma of the prostate who underwent retrigonization and 99 patients in whom no retrigonization was performed. It was found that retrigonization by decreasing bleeding from the prostatic cavity shortened the duration of indwelling catheterization, thus reducing the hazard of urinary infection. Retrigonization ensures a wide junction between the bladder and the prostatic cavity and reduces the risk of post-prostatectomy urethral strictures.

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References

  1. Adamkiewicz, K.: Odległe wyniki prostatektomii.Pol. Przeg. Chir., 28, 283 (1956).

    Google Scholar 

  2. Bensimon, H.: Hemostatic retropublic prostatectomy.J. Urol., 110, 326 (1973).

    PubMed  Google Scholar 

  3. Borówka, A.: Wartość retrygonizacji szyi pęcherza moczowego w zapobieganiu odpływom pęcherzowo-moczowodowym po wyłuszczeniu gruczolaka stercza (in press).

  4. Bruce, A. W., Rao, C. R., Kennedy, W.: Prostatectomy and infectionJ. Urol., 106, 910 (1971).

    PubMed  Google Scholar 

  5. Caine, M.: The persistence of urinary infection following prostatectomy.Brit. J. Urol., 25, 9 (1953).

    PubMed  Google Scholar 

  6. Greene, L. F.: Common misconceptions about the prostate gland.Am. Fam. Physician, 10, 80 (1974).

    Google Scholar 

  7. Grégoir, W.: Hemostatic adenomectomy.Urol. Int., 24, 426 (1969).

    PubMed  Google Scholar 

  8. Harris, S. H.: Prostatectomy with closure: Five years' experience.Brit. Med. J., 77, 434 (1933).

    Google Scholar 

  9. Harris, S. H.: Suprapubic, prostatectomy with closure.Med. J. Aust., 26, 461 (1927);Surg. Gynec. Obstet., 50, 251 (1930).

    Google Scholar 

  10. Hutch, J. A., Rambo, O. N. Jr.: A study of the anatomy of the prostate, prostatic urethra and the urinary sphincter system.J. Urol., 104, 443 (1970).

    PubMed  Google Scholar 

  11. Jackaman, F. R., Chisholm, G. D.: Urinary infection and prostatectomy.Brit. J. Urol., 47, 545 (1975).

    PubMed  Google Scholar 

  12. Jellinghaus, W., Meridies, R., Lenz, P.: Versorgung des Blasenhalses bei transvesikaler Prostatektomie.Urologe A,13, 107 (1974).

    PubMed  Google Scholar 

  13. Joanid, P. C., Angelescu, N.: Treatment of obstructive complications following prostatic adenomectomy.Int. Urol. Nephrol., 1, 355 (1969).

    Google Scholar 

  14. Krzeski, T., Witeska, A., Zachwiej, J., Borówka, A.: Analysis of the urinary tract infections in patients undergoing prostatectomy.Int. Urol. Nephrol., 11, 45 (1979).

    PubMed  Google Scholar 

  15. Leńko, J., Marczynska, A.: Badania porównawcze nad zachowaniem się łozyska gruczolaka po wyłuszczeniu stercza sposobem Millina i Hryntschaka.Pol. Przeg. Chir., 33, 179 (1961).

    Google Scholar 

  16. Mazurek, L.: Badania rentgenowskie nad losem łozyska po wyłuszczeniu gruczolaka okołocewkowego sposobem Millina i Freyera.Pol. Przeg. Chir., 22, 316 (1960).

    Google Scholar 

  17. Miller, A., Gillespie, W. A., Linton, K. B., Slade, N., Mitchell, J. P.: Prevention of urinary infection after prostatectomy.Lancet, 2, 886 (1960).

    PubMed  Google Scholar 

  18. Novak, R., Marićić, Z.: Persistenz der prostatischen Lage nach der Prostatectomie als Ursache postoperativer Schwierigkeiten.Urol. Int., 21, 68 (1966).

    PubMed  Google Scholar 

  19. Wilson, F. H., Shumaker, E. J., Frentress, V., Lerner, A. M.: Epidemiologic aspects of postoperative sepsis in a urologic practice.J. Urol., 105, 295 (1971).

    PubMed  Google Scholar 

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Borówka, A. Retrigonization of the bladder neck and its influence on the prostatic cavity after prostatectomy. International Urology and Nephrology 13, 353–362 (1981). https://doi.org/10.1007/BF02081936

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