1470nm laser transurethral modified bladder neck incision for the treatment of female bladder neck obstruction
10.3969/j.issn.1673-9701.2024.03.013
- VernacularTitle:1470nm激光经尿道改良膀胱颈切开术治疗女性膀胱颈梗阻
- Author:
Jian LANG
1
;
Di DAI
1
;
Zhangji ZHU
1
;
Hongzhe XU
1
;
Tingting TAO
2
;
Yue DUAN
2
Author Information
1. The Second Clinical School, Zhejiang Chinese Medicine University, Hangzhou 310053, Zhejiang, China
2. Department of Urology, the Second Affiliated Hospital of Zhejiang Chinese Medicine University, Hangzhou 310005, Zhejiang, China
- Publication Type:Journal Article
- Keywords:
Bladder neck obstruction;
Transurethral resection of bladder neck;
1470nm laser
- From:
China Modern Doctor
2024;62(3):60-64
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the treatment of female bladder neck obstruction by 1470nm laser transurethral modified enlarged female bladder neck obstruction(FBNO).Methods The clinical data of 34 patients with FBNO from January 2019 to November 2021 were retrospectively analyzed.The patient underwent a 1470nm laser transurethral modified enlarged bladder neck incision.The 1470nm laser was used to vaporise the bladder neck at 12 o'clock(lithotomy),and the incision site was expanded along the bladder neck to 9 o'clock and 3 o'clock to form a semi-circular surgical wound.The patients were followed up for complications,scored form of Bristol female lower urinary tract symptoms questionnaire(BFLUTS-SF)urination symptom subscale,quality of life(QoL)score and the maximum urinary flow rate(Qmax),detrusor pressure at maximum flow rate(PdetQmax),post-void residual(PVR)were reviewed at 1,4,and 10 months after operation.Results After 10 months of follow-up,the subjective indexes of BFLUTS-SF and QoL scores were significantly improved compared with those before operation(P<0.001),and the objective indexes of Qmax,PdetQmax,and PVR were significantly improved compared with those before operation(P<0.001).Two patients had mild urgency urinary incontinence and urinary tract infection symptoms half a month after operation,and the symptoms were improved after anti-infection and pelvic floor rehabilitation treatment.During the follow-up period,there were no complications such as vesicovaginal fistula,stress urinary incontinence,or recurrent bladder neck obstruction.Conclusion 1470nm laser transurethral modified enlarged bladder neck resection can effectively relieve bladder neck obstruction without significant postoperative complications,with high safety and good patient satisfaction.
