Effect of temporary occlusion of hypogastric arteries on blood loss during radical retropubic prostatectomy

L. R. Kavoussi*, J. A. Myers, W. J. Catalona

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

19 Scopus citations

Abstract

We report on a prospective, partially randomized study of 130 patients, examining the effect of temporary occlusion of the hypogastric arteries on intraoperative blood loss, perioperative blood replacement and change in preoperative to postoperative hematocrit. We observed no significant difference in any of these parameters when comparing patients who did and did not undergo intraoperative occlusion of the hypogastric arteries. These findings suggest that temporary occlusion of the hypogastric arteries during radical prostatectomy does not have a major effect on the blood loss associated with this operation. Extensive collateral circulation to the prostate and a substantial venous component of blood loss may explain these findings. Banking of 3 units of autologous blood preoperatively would have decreased the need for homologous transfusions in the majority of patients.

Original languageEnglish (US)
Pages (from-to)362-365
Number of pages4
JournalJournal of Urology
Volume146
Issue number2
DOIs
StatePublished - Jan 1 1991

Keywords

  • Adenocarcinoma
  • Arteries
  • Carcinoma
  • Prostate
  • Prostatectomy

ASJC Scopus subject areas

  • Urology

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