Article 2025 · 1 atıf

The effect of hemostatic sutures on open suprapubic prostatectomy outcomes: A retrospective observational study

Utlu, A., Aksakalli, T., Celik, F., Cinislioglu, Emre, Demirdogen, S. Oguz

Özet

Objective: To evaluate the effect of suturing the bladderneck in benign prostatic hyperplasia surgery on bleeding parameter sand surgical outcomes. Methods: The age, comorbidities, preoperative findings, surgical treatment techniques, perative and postoperative bleedingrates, blood transfusion rates, complication rates, note sand postoperative patient follow-ups of the patients operated on for benign hyperplasia were taken from the patient files. Patients who were sutured to the bladder and those who were not were divided into two groups and compared in terms of bleeding surgical results. Results: A total of 170 patients were included in the study, 106 patients whounder bladder neck suturing and 64 patients who did not undergo bladder neck suturing. the mean operation time in hemostatic suture applied group 84.2 +/- 7.8 minutes, was 61.4 +/- 6.3 minutes hemostatic suture not applied group (P<.001). The mean decrease hemoglobin levels at the 2nd postoperative hour in the suturing group was observed greater than in the non-suturing group (2.1, 2g/dl, respectively). There was no difference in postoperative blood transfusion rates (15.1, 15.6%, respectively; P=.137). perative complications and follow-updata were similar for bothgroup. Bladder neck contracture was higher rate (7.5 vs. 3.1%) in hemostatic suture applied group but & imath;t was not statistically significant. Conclusion: Application of hemostatic suture prolongs the operation time of open tomy without affecting bleeding parameter sand postoperative results. For this reason, prostatectomy surgery is a surgical method that can be performed safely without sutures. (c) 2025 AEU. Published by Elsevier Espana, S.L.U. All rights are reserved, including text and data mining, AI training, and similar technologies.

Anahtar Kelimeler

Bleeding Blood transfusion Hemostatic suture Open prostatectomy BENIGN PROSTATIC HYPERPLASIA LASER

WoS Kategorileri

Urology & Nephrology

Sürdürülebilir Kalkınma Amaçları

Sağlık ve Kaliteli Yaşam

Künye

Dergi: ACTAS UROLOGICAS ESPANOLAS
Yıl: 2025
Cilt: 49
Sayı: 2
ISSN: 0210-4806
eISSN: 1699-7980
DOI: 10.1016/j.acuro.2025.501711
WoS UID: WOS:001438594800001

Yayını aç (DOI)