University:
Swansea University
Course:
PM-139 | Human Physiology 1
Academic year:

2023
Views:

38

Pages:

4
Author:

Amal J.

Hydrone phrosis:Distension of the renaelpelvi C and caricules with urinendue to obstruction of the wetterwith atrophy of kidney"paren chysis"considerableProstatismfrequency or micturation inday and night dy surva delayin starting and poor stream.all indicate for prostectomyBP and rairly gets wors eafter to 10 years.Haemon hage :Bleeding from engaged venalsplenes is not in usual in BP.clot retension due to severe bleedingwhich can not be drain ed pro perlyby a catheter should undergoimmediate prostectomy. complications -when BP is associated withother complications such asdiverticulum formation or stoneformation. .management of retention of crenewith BP :P+ c good general conditionwith out clinical signs ofin efections 01 renal in sufficiency.Immediate on stage ofProstectomy.Pt in whoom in mediatePros tectomy can not be performedpreliminary drai nage byindwelling urethral catheter followed7-10 days by poro tectomy[semi - urgent prostectomy]During the 7 days periodthe surgeon will do all necessaryinvestigation and at the samotime will improve the patientgeneral conditions he should lower the patient blood arealevel with antibiotics cover thedanger of infection in seldomserious -Types of pros tectomy :supra pubi C puros tectomyRetro pubi C puros tectomyTrans urethral 1,perinear 11supro pubic Pows tatectomy ?position: The patient is placed insurgeon stands on the left sideTrandelenburg positiona theof theThe pt. . towels are so placedsurgeon will also get acres Spenis is available and thetothe rectumIncision :, premensted incision 7a curved inision just above thepublicrest starting from thelateral margin of the rectusmuscle. Technique of the operation :The incision is graduallydepend through the skin 4 the2 layers of supcutanous tissueL superticial epigastric vesselsare divided b/w ing atures :Trans verse incision on therectus sheath and margins areretracted upward and downward2 recti muscles and the pyramidatisare refracted a part from eachotherfascici transversalis is incisedEntra peritioneal fatty tissue iswiped upwards with a piece ofguaze till the anterio r portion-of the distended the bladder willbe underview