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An improved technique for controlling bleeding during simple retropubic prostatectomy

Over the decades, clinical observation by experienced urologists has confirmed open prostatectomy to be the most effective surgical method to alleviate symptoms and to improve urinary flow in patients with BOO related to BPH [1,2]. However, this procedure is more invasive and aggressive than other treatments, and is associated with complications during and after surgery in a third of patients [1,3]. Among the complications the risk of troublesome perioperative bleeding is always present, related to the rich arterial and venous supply of the prostate gland.