A Technical Tip to Minimize Dorsal Vein Complex Bleeding in Extraperitoneal Laparoscopic Radical Prostatectomy: Using Balloon of The Urethral Catheter

Authors : Abdullah Gölbaşı, Eren Cengiz, Hüseyin Biçer, Gökhan Sönmez, Murat Keske, Mert Ali Karadağ

Pages : 70-74

Doi:10.54233/endourolbull-1476917

View : 21 | Download : 17

Publication Date : 2024-05-31

Article Type : Research Paper

Abstract :Objective: We aimed to present a technical tip that can stop bleeding in the form of leakage after control of the dorsal vein complex (DVC) during laparoscopic radical prostatectomy and its results. Material and Methods: Patients who underwent extraperitoneal laparoscopic radical prostatectomy between May 2021 and August 2023 were included in the study. In all patients, a 16 Fr foley catheter was placed through the urethra to control minimal bleeding from the DVC, and traction was applied for 15 min with a 25 ml inflated balloon. Demographic characteristics, Prostate Specific Antigen (PSA) values, gleason scores, prostate volumes and operation times were recorded. Results: A total of 95 patients were included in the study. The mean age, PSA and prostate volume values ​​were 67.2 (49-76) years, 8.43 (4-21) ng/ml, 46.32 (28-79) ml, respectively, while the median Gleason score value was 6 (6-8). The mean operation time was 162.5 (126-237). Mean operative times were not different from those of patients who did not participate in the study. Conclusions: In our opinion, catheter balloon compression is a safe and feasible technique to control bleeding and facilitate anastomosis under clear visualization. This technique needs to be supported by prospective, randomized, double-blind studies.
Keywords : Prostat Kanseri, Dorsal Ven Kompleksi, Laparaskopi