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Modified madigan prostatectomy: A procedure preserved prostatic urethra intact

  • Lu Jun
  • Ye Zhangqun
  • Hu Weilie
Article

Summary

A total of 92 patients with benign prostatic hyperplasia (BPH) were subjected to modified Madigan prostatectomy (MPC) for a much satisfactory effect in open prostatectomy surgery. Exposing anterior prostatic urethra near the bladder neck and conjunct cystotomy modified the MPC procedure. This modified procedure preserved prostatic urethra intact and could also deal with in-tracystic lesions at the same time. The intact of prostatic urethra was kept completely or largely in 86 cases. The amount of blood loss during modified procedure was less. The mean operative time was 105 min. Seventy patients had been followed up for 3–24 months. The postoperative average Qmax was 19.2 ml/s. The cystourethrography revealed that the urethra and bladder neck were intact in 10 patients postoperatively. Furthermore, the prostatic urethra was obviously wider after modified MPC. The modified MPC can reduce the occurrence of urethra injury and enlarge the MPC indications. The modified technique is easy to perform with less complications and much satisfactory clinical result.

Key words

prostatic hyperplasia prostatectomy surgery, operative 

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References

  1. 1.
    Dixon A R, Lord P H, Madigan M R. The madigan prostatectomy. J Urol, 1990, 144: 1401PubMedGoogle Scholar
  2. 2.
    Hong S T, Gao XM, Zhao ZHet al. Madigan prostatectomy. Chin J Urol (Chinese), 1994, 15:187Google Scholar
  3. 3.
    Xu C B, Chen X Q, Hu Qet al. Surgical anatomy and clinical application of ligation interior vescial artery during Madigan’s prostatetomy. J Clin Urol (Chinese), 1998, 13:71Google Scholar
  4. 4.
    Cai W, Ye L Y, Xiao X Ret al. Modified Madigan prostatectomy: A direct approach to expose the prostatic urethra (reports of 12 cases) Chin J Urol, 2000, 21: 537Google Scholar

Copyright information

© Springer 2005

Authors and Affiliations

  • Lu Jun
    • 1
    • 2
  • Ye Zhangqun
    • 1
  • Hu Weilie
    • 2
  1. 1.Department of Urology, Tongji Hospital, Tongji Medical CollegeHuazhong University of Science and TechnologyWuhanChina
  2. 2.Department of UrologyGuangzhou General HospitalPLA GuangzhouChina

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