Laparoscopic simple prostatectomy for large volume benign prostate hyperplasia: a report of 30 cases

Changjian Shi; Bosen DU; Jie XU; Minglang Liao; Wei Gan; Huihua JI; Yun Liu; Zhenglong Zhang; Sheng Chen; Tianbao Wang; Yi Gao; Yunfei LI

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Laparoscopic simple prostatectomy for large volume benign prostate hyperplasia: a report of 30 cases

VernacularTitle:腹腔镜下单纯前列腺切除治疗30例大体积前列腺增生报告
Author: Changjian SHI ¹ ; Bosen DU ¹ ; Jie XU ¹ ; Minglang LIAO ¹ ; Wei GAN ¹ ; Huihua JI ¹ ; Yun LIU ¹ ; Zhenglong ZHANG ¹ ; Sheng CHEN ¹ ; Tianbao WANG ¹ ; Yi GAO ¹ ; Yunfei LI ¹
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1. Department of Urology, Renmin Hospital, Hubei University of Medicine, Shiyan 442000, China
Publication Type:Journal Article
Keywords: laparoscopic surgery; simple prostatectomy; benign prostate hyperplasia; large volume benign prostate hyperplasia; minimally invasive
From: Journal of Modern Urology 2023;28(8):654-658
CountryChina
Language:Chinese
Abstract: 【Objective】 To investigate the feasibility of laparoscopic simple prostatectomy (LSP) in the treatment of large volume benign prostate hyperplasia (BPH). 【Methods】 Clinical and follow-up data of 30 patients with large volume BPH treated with LSP in our hospital during Feb.2019 and Dec.2021 were retrospectively analyzed. All patients underwent extraperitoneal LSP operation. The perioperative and 1-12 month postoperative follow-up data were analyzed. 【Results】 The average prostate volume was (92.4±38.9) mL, operation time (125±45) min, and weight of resected prostate (60.25±16.90) g. The hemoglobin decreased by (12.21±7.25) g/d after operation. No blood transfusion was needed. There was no need for bladder irrigation after operation in 21 cases (70%), and 9 cases (30%) had bladder irrigation time of (0.95±0.49) d. The postoperative catheter indwelling time was (6.92±2.51) d, and hospital stay (5.36±1.63) d. During the follow-up of (9.25±5.4) months, there was 1 case of postoperative intestinal obstruction (Clavien-Dindo grade II), 1 case of transient urinary incontinence (Clavien-Dindo grade I), and 1 case of delayed hematuria (Clavien-Dindo grade I). No urethral stricture occurred. The maximum urinary flow rate (Qmax), post-void residual urine volume (PVR), International Prostate Symptom Score (IPSS) and quality of life (QoL) 3 months after operation were significantly improved compared with those before operation (P<0.05). There was no significant difference in sexual function before and after operation (P>0.05). 【Conclusion】 LSP is safe and effective in the treatment of large volume BPH. It has advantages of complete resection of glands, minor bleeding and short postoperative bladder irrigation time. However, it still needs to be confirmed by a prospective control study of large samples.