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URETHRAL OBSTRUCTION WITH OXIDIZED CELLULOSE FOLLOWING RETROPUBIC PROSTATECTOMY

LEANDER WILLIAM RIBA, M.D.
JAMA. 1949;141(8):532-533. doi:10.1001/jama.1949.62910080006009a.
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ABSTRACT

Oxidized cellulose in gauzelike form (oxycel®) is finding increasing favor among urologic surgeons. Postoperative hemorrhage is minimized in nearly all the cases in which it is used in the prostatic cavity following prostatectomy. When gauze packs and "pressure rubber bags" are eliminated the postoperative morbidity is definitely shortened. With oxidized cellulose or absorbable gelatin sponge (gelfoam®) patients have infinitely less pain and discomfort. Sedatives are unnecessary unless the catheter fails to drain properly. After the catheter is removed the oxidized cellulose or the absorbable gelatin sponge usually disintegrates or the material can be irrigated out.

The purpose of this report is to call attention to the retention of oxidized cellulose in the posterior urethra following retropubic prostatectomy. The retained material caused posterior urethral obstruction and severe vesical symptoms.

REPORT OF CASE  Mr. E. S. J., aged 80, was admitted to the Passavant Memorial Hospital Dec. 27, 1948 complaining of inability

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