Open Access

HOW I DO IT

How I do it: Balloon tamponade of prostatic fossa following Aquablation

Nikolai Aljuri¹, Peter Gilling², Claus Roehrborn³

1 PROCEPT BioRobotics Corporation, Redwood Shores, California, USA
2 Tauranga Hospital, Bay of Plenty District Health Board, Tauranga, New Zealand
3 Department of Urology, University of Texas Southwestern, Dallas, Texas, USA
Address correspondence to Dr. Peter Gilling, Tauranga Hospital, Private Bag 12024, Tauranga 3143 New Zealand

Canadian Journal of Urology 2017, 24(4), 8937-8940.

Abstract

Since its first report in the 1870s, control of bleeding after transurethral resection of the prostate (TURP) has remained a concern. Foley’s initial report of a urinary catheter involved placement of the balloon into the prostatic fossa following TURP. Removal of prostate tissue with a high-velocity saline stream (Aquablation) is a recently reported alternative to TURP. As Aquablation is heat-free, alternatives to non-thermal hemostasis were sought to optimize the procedure. We report use of a balloon catheter in the prostatic fossa after Aquablation as a post-resection hemostatic method.

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