Application of transurethral vapor-resection of the prostate for bladder outlet obstruction in patients with prostate cancer
- VernacularTitle:经尿道汽化切除术在伴有膀胱出口梗阻前列腺癌治疗中的应用
- Author:
Guowei HE
;
Jie YIN
;
Nengbin MAI
;
Xiongxin CHEN
;
Jingbo LIU
;
Yuan MEI
- Publication Type:Journal Article
- Keywords:
Prostatic neoplasms;
Bladder neck ohatruetion;
Prostectomy,transurethral
- From:
Chinese Journal of Primary Medicine and Pharmacy
2008;15(7):1059-1060
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the application of the transurethral vapor-resection of the prostate(TU- VRP) for bladder outlet obstruction(BOO) in patients with prostate eaneer(PCa). Methods Of 33 patients with BOO. 18 were definitely diagnosed with PCa and after treatment they still had symptoms of BOO;15 cases were di- agnosed with benign prostate hyperplasia(BPH). All patients underwent TUVRP for BOO. Results All cases were successfully done. Postoperative complications included transient urinary ineontinenee in 5 ,and gross hematuria in 9. 27 patients were followed up(10-36 months).8 cases died of PCa,with a mean survival of 31 months.5 cases died of other diseases. After treatment, PSA levels decreased to ( 10.2 ± 6.7) μg/L. The average residual urinary volume (RU) decreased to (39.7 ± 13.9) ml, and the average IPSS was (8.7 ± 1.6 ). Compared with those of preoperation, the differences were statistically significant ( P < 0.05 ). Conelnsion TUVRP is a reliable treatment for prostate cancer with bladder outlet obstruction.
