Objective: To better control the superficial and deep dorsal veins during radical retropubic prostatectomy and, thus, to reduce blood loss. Patients and Methods: A surgical technique is described which introduces a modified Babcock clamp to fully encompass all tissue above the prostatic capsule. In a prospective protocol, 30 consecutive patients (median age 64.5, range 57–76 years) were randomly assigned to either the standard technique or the Münster clamp method. Blood loss was estimated for the entire phase from teasing away the periprostatic fat until the apex had been mobilized. Results: Median hemorrhage was 950 (range 300–2,100) ml for the standard technique and 800 (range 200–1,750) ml for the clamp procedure (Wilcoxon rank sum test, p = 0.17). Conclusions: The Münster clamp technique can reduce hemorrhage during radical retropubic prostatectomy. This method is easy to apply and is also suitable for cystoprostatectomy.

Keywords:
Radical retropubic prostatectomy, Dorsal vein complex, Blood loss, Surgical technique, Münster clamp
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© 2003 S. Karger AG, Basel
2003
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