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Urology Dept.1 successfully implemented prostate decollement by pushing for a ninety-year-old man
 
Author: Urology Dept.1  Zhao Yongjun   Liu Tiandong 

                                      Translator: CP Ma Xin   

     Recently, Urology Dept.1 of our hospital successfully implemented the prostate decollement by pushing for a ninety-year-old man with BPH combined with severe bleeding . Recovering well after operation,the catheter removed ,the patient was discharged on the 7th day after operation with normal urination.     
     Due to sudden gross hematuria 1 week, increased with lots of blood clots1 day, B Ultrasonic indicting enlarged prostate with 6.5 * 6.2 * 5.4cm and urinary bladder clot ,the patient, Li Zhenping, male, 89 years old, was hospitalized emergently into Urology Dept.1. At that time the patient was anxious and tensive with difficulty urinating. Examination: BP: 100/70mmHg, HR:102 beats / min, low-spirited, pale conjunctiva, bladder filling and tenderness. Patients underwnet the conventional transurethral resection of prostate six years ago. 
     Considering in critical condition , after hospitalization Mr. Li underwent catheterization and continuous bladder irrigation immediately and was given rehydration hemostasis timely.Because the patient was older with hemorrhagic anemia and the head CT diagnosed as infarction in the right basal ganglia region and bilateral lateral ventricles, cerebral atrophy , the anesthesia and surgery were at high risk . Through an adequate preoperative preparation,Director Zhao Peixiang succeeded in the prostate decollement by pushing for the man with rare bleeding , no blood transfusion and fine recovery after operation. 
     Before discharge , holding Director Zhao’s hand excitedly , the patient’s son , Li Zhihui said with tears, “I had thought my father could not survive this time. It is Director Zhao and all the staff who saved my old father! Thank Central Hospital for training such skillful and noble medical doctors and nurses. While entering Central Hospital , we are more assured, more comfortable, more heart-warming, more fulfilling the filial piety of the childeren! "

 
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