Minimizing complications during retropubic radical prostatectomy - is ureteral stenting necessary?
<p>Abstract</p> <p>Objectives and aims</p> <p>To avoid damage to the ureters during bladder neck preparation in radical prostatectomy for prostate cancer, it may be helpful to insert ureteral stents temporarily or to intravenously administer indigo carmine dye for enhan...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2010-03-01
|
| Series: | European Journal of Medical Research |
| Subjects: | |
| Online Access: | http://www.eurjmedres.com/content/15/3/121 |
| _version_ | 1818664424210169856 |
|---|---|
| author | Schlenker B Gratzke C Seitz M von Walter P Tilki D Reich O Zaak D Stief CG Bader MJ |
| author_facet | Schlenker B Gratzke C Seitz M von Walter P Tilki D Reich O Zaak D Stief CG Bader MJ |
| author_sort | Schlenker B |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Objectives and aims</p> <p>To avoid damage to the ureters during bladder neck preparation in radical prostatectomy for prostate cancer, it may be helpful to insert ureteral stents temporarily or to intravenously administer indigo carmine dye for enhanced visualisation of ureteric orifices. We evaluated our bladder neck preserving technique at radical prostatectomy with regard to ureteric injuries.</p> <p>Patients and methods</p> <p>We analysed 369 consecutive radical prostatectomies operated in our clinic in a bladder neck preserving technique. The following parameters were assessed in this retrospective study: number of prophylactic ureteric stent insertions, application of indigo carmine dye, observed injuries of the ureters by the surgeon, postoperative increase of serum creatinine and postoperative status of kidney ultrasound.</p> <p>Results</p> <p>In 7/369 prostatectomies (1.90%) a ureteric stent insertion was performed, indigo carmine was not applied to any patient at all, yet no intraoperative injury of a ureter was observed by a surgeon. No revision was necessary due to a ureteral injury within the observation period of one year after surgery. In 17 patients with preoperative normal creatinine value a pathological value was observed on the first postoperative day (mean 1.4 mg/dl). In these patients no consecutive postrenal acute renal failure was observed, no hydronephrosis was monitored by ultrasound and no further intervention was necessary.</p> <p>Conclusions</p> <p>Bladder neck preserving operation technique does not implicate the need of prophylactic ureteric stent insertions and has no higher incidence of ureteric injuries.</p> |
| first_indexed | 2024-12-17T05:32:31Z |
| format | Article |
| id | doaj.art-99c50a2fcdd64a11a46d160ea081aec4 |
| institution | Directory Open Access Journal |
| issn | 2047-783X |
| language | English |
| last_indexed | 2024-12-17T05:32:31Z |
| publishDate | 2010-03-01 |
| publisher | BMC |
| record_format | Article |
| series | European Journal of Medical Research |
| spelling | doaj.art-99c50a2fcdd64a11a46d160ea081aec42022-12-21T22:01:41ZengBMCEuropean Journal of Medical Research2047-783X2010-03-0115312110.1186/2047-783X-15-3-121Minimizing complications during retropubic radical prostatectomy - is ureteral stenting necessary?Schlenker BGratzke CSeitz Mvon Walter PTilki DReich OZaak DStief CGBader MJ<p>Abstract</p> <p>Objectives and aims</p> <p>To avoid damage to the ureters during bladder neck preparation in radical prostatectomy for prostate cancer, it may be helpful to insert ureteral stents temporarily or to intravenously administer indigo carmine dye for enhanced visualisation of ureteric orifices. We evaluated our bladder neck preserving technique at radical prostatectomy with regard to ureteric injuries.</p> <p>Patients and methods</p> <p>We analysed 369 consecutive radical prostatectomies operated in our clinic in a bladder neck preserving technique. The following parameters were assessed in this retrospective study: number of prophylactic ureteric stent insertions, application of indigo carmine dye, observed injuries of the ureters by the surgeon, postoperative increase of serum creatinine and postoperative status of kidney ultrasound.</p> <p>Results</p> <p>In 7/369 prostatectomies (1.90%) a ureteric stent insertion was performed, indigo carmine was not applied to any patient at all, yet no intraoperative injury of a ureter was observed by a surgeon. No revision was necessary due to a ureteral injury within the observation period of one year after surgery. In 17 patients with preoperative normal creatinine value a pathological value was observed on the first postoperative day (mean 1.4 mg/dl). In these patients no consecutive postrenal acute renal failure was observed, no hydronephrosis was monitored by ultrasound and no further intervention was necessary.</p> <p>Conclusions</p> <p>Bladder neck preserving operation technique does not implicate the need of prophylactic ureteric stent insertions and has no higher incidence of ureteric injuries.</p>http://www.eurjmedres.com/content/15/3/121prostate cancerretropubic radical prostatectomyintraoperative complicationureter |
| spellingShingle | Schlenker B Gratzke C Seitz M von Walter P Tilki D Reich O Zaak D Stief CG Bader MJ Minimizing complications during retropubic radical prostatectomy - is ureteral stenting necessary? European Journal of Medical Research prostate cancer retropubic radical prostatectomy intraoperative complication ureter |
| title | Minimizing complications during retropubic radical prostatectomy - is ureteral stenting necessary? |
| title_full | Minimizing complications during retropubic radical prostatectomy - is ureteral stenting necessary? |
| title_fullStr | Minimizing complications during retropubic radical prostatectomy - is ureteral stenting necessary? |
| title_full_unstemmed | Minimizing complications during retropubic radical prostatectomy - is ureteral stenting necessary? |
| title_short | Minimizing complications during retropubic radical prostatectomy - is ureteral stenting necessary? |
| title_sort | minimizing complications during retropubic radical prostatectomy is ureteral stenting necessary |
| topic | prostate cancer retropubic radical prostatectomy intraoperative complication ureter |
| url | http://www.eurjmedres.com/content/15/3/121 |
| work_keys_str_mv | AT schlenkerb minimizingcomplicationsduringretropubicradicalprostatectomyisureteralstentingnecessary AT gratzkec minimizingcomplicationsduringretropubicradicalprostatectomyisureteralstentingnecessary AT seitzm minimizingcomplicationsduringretropubicradicalprostatectomyisureteralstentingnecessary AT vonwalterp minimizingcomplicationsduringretropubicradicalprostatectomyisureteralstentingnecessary AT tilkid minimizingcomplicationsduringretropubicradicalprostatectomyisureteralstentingnecessary AT reicho minimizingcomplicationsduringretropubicradicalprostatectomyisureteralstentingnecessary AT zaakd minimizingcomplicationsduringretropubicradicalprostatectomyisureteralstentingnecessary AT stiefcg minimizingcomplicationsduringretropubicradicalprostatectomyisureteralstentingnecessary AT badermj minimizingcomplicationsduringretropubicradicalprostatectomyisureteralstentingnecessary |