Drain-free simple retropubic prostatectomy with fibrin sealant

Allen F. Morey, R. Clayton McDonough, William S. Kizer, John P. Foley

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Purpose: We present our preliminary experience with liquid fibrin sealant during simple retropubic prostatectomy. Materials and Methods: We reviewed 18 consecutive simple retropubic prostatectomies performed for symptomatic advanced benign prostatic hyperplasia at our institution between 1997 and 2001. Adenoma enucleation was performed via transverse anterior prostatic capsulotomy. In the first 13 cases (group 1) a Jackson-Pratt suction drain was placed in the pelvis after prostatic capsular closure. In the remaining 5 cases (group 2) 2 ml. liquid fibrin sealant were administered over the closed prostatic capsule instead of a pelvic drain. Results: The 2 groups were matched for age and prostate size. Average time to drain removal in control group was 3.92 days, while the fibrin sealant group had no clinically apparent adverse sequelae despite the lack of pelvic drainage. Average hospitalization in group 1 was 4.38 days, while all group 2 patients were discharged home after 2 days (p = 0.001). In addition, a trend toward earlier resumption of a full diet was noted in the sealant group (2.61 versus 1 day, p = 0.075). Conclusions: Liquid fibrin sealant appears to expedite recovery and shorten hospitalization when used as an adjunct during simple prostatectomy.

Original languageEnglish (US)
Pages (from-to)627-629
Number of pages3
JournalJournal of Urology
Volume168
Issue number2
StatePublished - 2002

Fingerprint

Fibrin Tissue Adhesive
Prostatectomy
Hospitalization Insurance
Suction
Prostatic Hyperplasia
Pelvis
Adenoma
Capsules
Prostate
Drainage
Hospitalization
Research Design
Diet
Control Groups

Keywords

  • Antifibrinolytic agents
  • Fibrin tissue adhesive
  • Prostate
  • Prostatectomy

ASJC Scopus subject areas

  • Urology

Cite this

Morey, A. F., McDonough, R. C., Kizer, W. S., & Foley, J. P. (2002). Drain-free simple retropubic prostatectomy with fibrin sealant. Journal of Urology, 168(2), 627-629.

Drain-free simple retropubic prostatectomy with fibrin sealant. / Morey, Allen F.; McDonough, R. Clayton; Kizer, William S.; Foley, John P.

In: Journal of Urology, Vol. 168, No. 2, 2002, p. 627-629.

Research output: Contribution to journalArticle

Morey, AF, McDonough, RC, Kizer, WS & Foley, JP 2002, 'Drain-free simple retropubic prostatectomy with fibrin sealant', Journal of Urology, vol. 168, no. 2, pp. 627-629.
Morey AF, McDonough RC, Kizer WS, Foley JP. Drain-free simple retropubic prostatectomy with fibrin sealant. Journal of Urology. 2002;168(2):627-629.
Morey, Allen F. ; McDonough, R. Clayton ; Kizer, William S. ; Foley, John P. / Drain-free simple retropubic prostatectomy with fibrin sealant. In: Journal of Urology. 2002 ; Vol. 168, No. 2. pp. 627-629.
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