Urol. praxi, 2014; 15(2): 77-79

Venous thrombosis in urology

doc.MUDr.Dalibor Musil, Ph.D.

I. interní klinika &ndash, kardiologická LF UP a FN Olomouc

Venous thromboembolic disease (TED) is one of the most common and potentially life-threatening complications in urology. In urology,

there are major surgeries associated with a high risk of TED as well as endoscopic and laparoscopic procedures wherein, with adequate

mechanical thromboprophylaxis, the risk of TED is very low. When there is a low intraoperative risk of TED, early mobilization and lower

limb compression with stockings are sufficient. In patients with high and moderate risks of TED, postoperative pharmacological and/or

mechanical thromboprophylaxis is required. A high risk of TED is particularly associated with operative procedures for an active tumour.

LMWH is currently the first-choice drug in pharmacoprophylaxis. When there is a high risk of bleeding, pharmacoprophylaxis can be

replaced by compression stockings and IPC. Extended prophylaxis with LMWH for up to four weeks postoperatively is recommended in

patients undergoing abdominal or pelvic surgery for cancer.

Keywords: thromboembolic disease, deep vein thrombosis, pulmonary embolism, thromboprophylaxis, urological surgery

Published: April 21, 2014  Show citation