SciELO - Scientific Electronic Library Online

vol.58 issue9Evolution of the knowledege of urethral pathology in Valencia from the end of the IXI century to the middle of XX century: Historical documentary analysisCholesterol embolism of the upper urinary tract as a clinical feature of atherosclerotic embolic vascular disease: Report of three cases, one of them simulating neoplasia author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google


Archivos Españoles de Urología (Ed. impresa)

Print version ISSN 0004-0614


BALLESTEROS SAMPOL, Juan José; GUZMAN FERNANDEZ, Alfonso; LOPEZ BOSQUE, Ricardo  and  PARES PUNTAS, Mª Eulalia. Evidence of the improvement of quality standars for retropubic surgery for BPH. Arch. Esp. Urol. [online]. 2005, vol.58, n.9, pp.859-866. ISSN 0004-0614.

OBJECTIVES: To report the first consolidated results of the technical variation of the bladder-capsule plasty, a complement of the well-known trans-cervical hemostatic adenomectomy. METHODS: We analyze 65 recent consecutive patients with BPH undergoing surgery by such technique with follow-up between 6-48 months, analyzing the parameters which in this type of operation are significant to evaluate quality. RESULTS: We evaluated bleeding, transfusions, surgical wound complications, postoperative discomfort, number of days with catheter, and hospital stay; also reoperations and morbidity-mortality, which show a notable improvement in comparison with what appears to be typical of this operation, considered the most aggressive approach for the surgical treatment of BPH. CONCLUSIONS: We report a personal modification of the transcervical hemostatic adenomectomy, published in 1974, after an experience of more than 1000 operations: the bladder-capsule plasty. The changes introduced in this 65 cases make us consider, even in present times, open surgery for BPH as the best solution for the obstructive problem in selected cases, with the lowest reoperation rates, and improving on factors such as "invasiveness" and "higher cost" which have been historically attributed to it.

Keywords : BPH; Retropubic adenomectomy; Transcervical hemostatic adenomectomy.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License