Volume 3, Issue 4 (7-2013)                   JAP 2013, 3(4): 248-252 | Back to browse issues page


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Farshi haghro A, amjadi M, Naghdi sade N, Safari S. The effect of Low- Dose Aspirin on Blood Loss during Transurethral Prostatectomy. JAP. 2013; 3 (4) :248-252
URL: http://jap.iums.ac.ir/article-1-5018-en.html

Abstract:   (3599 Views)
Aim and Background: Many of patients candidate for Transurethral Resection of Prostate (TURP) due to Benign Prostatic Hyperplasia (BPH), also suffer from cardiovascular diseases and are under medication with low dose aspirin (80 mg/daily). Aspirin withdrawal may result in acute cardiovascular syndrome, while its continuation may expose the patient to the risk of post-surgical excessive bleeding. There is not any guideline about whether to discontinue aspirin before TURP or not. This short communication aims to determine the impact of aspirin on intraoperative blood loss. Methods and Materials: A prospective study on 105 TURP candidates was designed, with 26 cases (24.8%) under aspirin medication and 79 cases (75.2%) not. Intra operative bleeding in two groups was compared together. Findings: There is no significant differences in intraoperative blood loss (P>0.05), hemoglobin concentration drop (P>0.05), hematocrit drop (P>0.05), time to urine clearance and blood transfusion between two groups. Blood loss does not have a significant correlation with type of anesthesia. Conclusions: Aspirin does not increase bleeding in TURP. As withdrawal of aspirin can lead to cardiovascular complications routinely aspirin discontinuation in these patients is not recommended.
Full-Text [PDF 245 kb]   (975 Downloads)    
Type of Study: Short Communication | Subject: Special
Received: 2013.07.8

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