A study of prostatic fossa packing: a modified technique in Freyer’s prostatectomy for achieving hemostasis

Abstract

Background: Benign prostatic hyperplasia is one of the most common old age related benign tumor of urinary tract of men. Though now a day the gold standard treatment is only TURP, but this facility is still out of reach for majority of rural population of India. The rate of complications has come down heavily but still complete hemostasis remains a major concern for these patients.Methods: This present study was conducted at the center from March 2014 to December 2016, the aim of present study was to see the effectiveness of bladder packing on blood loss, complications and comfort of patient in the cases of Benign prostatic hyperplasia (BPH) admitted at in patient department of surgery.Results: A Total of 90 cases of BPH (Benign Prostatic Hypertrophy) were operated by Freyer’s suprapubic transvesical prostatectomy. All the patients presented with symptoms of BPH. A detailed clinical history and examination of all patients was recorded and AUA (American Urological Association), International Prostate Symptom Score (IPSS) was calculated. On table clear urine was confirmed with naked eyes and no Foley’s traction was given. After 72 hours of the surgery, pack was removed, saline irrigation was continued for 5 days. The patient was discharged on the 8th post-operative day after removal of stitches.Conclusions: The prostatic fossa packing technique without any traction is effective in control of postoperative bleed, it is an acceptable option where transurethral resection of prostate(TURP) is not available.