Effect of modified suprapubic prostatectomy for benign prostatic hyperplasia on postoperative hemoglobin levels.

Can J Urol 17(4):5255-8 (2010) PMID 20735903

Hemostasis during suprapubic prostatectomy for benign prostatic hyperplasia (BPH) is commonly affected by placing sutures at the 5 o'clock position and the 7 o'clock position of the bladder neck. However, the urethral arterial branches of the inferior vesical artery that supplies the prostate extend from the 1 o'clock to 5 o'clock position and from the 7 o'clock to 11 o'clock position of the bladder neck, with the largest branches located posteriorly. This study analyses the effect of a modified suprapubic prostatectomy technique, which covered the area from the 1 o'clock position to the 11 o'clock position, on postoperative blood hemoglobin levels, as a reflection of hemorrhage control.