Intraprostatic Fossa Foley Balloon Tamponade: A Novel Technique for Controlling of Life-Threatening Bleeding During Simple Prostatectomy

1.1.Objective: To evaluated the efficacy, postoperative morbidity and technical complications of novel technique for controlling of bleeding during simple prostatectomy. 1.2.Materials and Methods: We retrospectively reviewed the 11 patients whom underwent balloon tamponade due to massive life threatening bleeding from prostatic fossa during open prostatectomy in our center since January 2007 till February 2016. 1.3.Results: Overall 11 patients were studied. The mean patient age was 74.81 years (range: 64 - 92). The procedures were performed via a suprapubic transvesical approach in 9 and retropubic in 2 patients. After this simple technique life-threatening bleeding was stopped completely. Fortunately, we didn’t find any complication attributable to our technique. There was no bladder neck stricture, fistula formation or rectal injury even in those patients who underwent retropubic procedure. Intra operative transfusion was done in all patients. 1.4.Conclusion: Balloon tamponade is a simple, quick and lifesaving new technique which is used when persistent and significant bleeding from the prostatic fossa continues after simple prostatectomy.