RESUMO
Haemorrhage occasionally occurs following transurethral prostatectomy, and it may be severe. In this study a relationship between severe haemorrhage and ingestion of aspirin is documented. This is explicable in terms of the anti-aggregatory affects of aspirin on platelets. There may also be a problem with other types of non-steroidal anti-inflammatory agents. Surgery should be undertaken with caution on patients taking these common medications.
Assuntos
Aspirina/efeitos adversos , Perda Sanguínea Cirúrgica , Prostatectomia , Idoso , Idoso de 80 Anos ou mais , Transfusão de Sangue , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de RiscoRESUMO
Tetracycline (Achromycin, Lederle) solution was used to produce sclerosis of 37 hydroceles and 18 epididymal cysts in patients over the age of 50 years. All but one of the epididymal cysts were sclerosed satisfactorily at 9 months; 35 hydroceles sclerosed satisfactorily, although four patients required re-treatment at 3 months. One patient required orchiectomy for an infected haematocele. Pain after instillation of tetracycline was an occasional complication which could be prevented by prophylactic spermatic cord block. Tetracycline sclerotherapy is a safe and effective alternative to surgery for hydroceles and epididymal cysts in older patients.
