Bleeding following retropubic prostatectomy: simple digital rectal pressure could be lifesaving

J Urol. 1998 Aug;160(2):477-8. doi: 10.1016/s0022-5347(01)62928-8.

Abstract

Purpose: A technique to control venous bleeding after retropubic prostatectomy is described.

Materials and methods: A man underwent retropubic prostatectomy for an enlarged benign prostate following which hemorrhage occurred.

Results: After failure of other more traditional methods of hemostasis, the bleeding was stopped by direct anterior digital rectal pressure.

Conclusions: Simple digital rectal pressure is a safe, effective and logical method of controlling venous bleeding from the dorsal venous or other plexus between the rectum and symphysis pubis.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aged, 80 and over
  • Electrocoagulation
  • Hemostasis, Surgical
  • Hemostatic Techniques*
  • Humans
  • Male
  • Postoperative Hemorrhage / therapy*
  • Pressure
  • Prostatectomy / adverse effects*
  • Prostatectomy / methods
  • Prostatic Hyperplasia / surgery
  • Rectum
  • Suture Techniques
  • Veins