Clinical analysis of capsular perforation in transurethral resection of prostate
10.3760/cma.j.issn.1673-4904.2011.23.008
- VernacularTitle:经尿道前列腺电切术中包膜穿孔的临床分析
- Author:
Zhilin DENG
;
Wei JIANG
;
Yong CHEN
;
Jun WANG
- Publication Type:Journal Article
- Keywords:
Prostatic hyperplasia;
Transurethral resection of prostate;
Capsular perforation
- From:
Chinese Journal of Postgraduates of Medicine
2011;34(23):21-23
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the causes and managements of capsular perforation in transurethral resection of prostate(TURP) for benign prostatic hyperplasia (BPH). Methods Clinical data of 893 cases who received TURP from February 2002 to February 2011 were analyzed retrospectively.Results In 893 cases, capsular perforation in 16 cases, among them, tissue covered perforation in 10 cases, dissociative perforation in 3 cases, perforation under bladder trignne in 3 cases. Six cases occurred with obviously extravasation, 10 cases with transurethral resection syndrome (TURS) or omen of TURS. Two cases were ceased operation and received TURP again after 2 weeks, 2 cases transferred to open surgery suprapubic prostatectomy, 12 cases kept up operation with lower bladder douche pressure. Two cases with postoperatire bleeding underwent open surgery hemostasis cured. All cases were discharged from hospital after recovery. Conclusions The type and extent of capsule perforation must be judged correctly,corresponding treatment must be given, prevention and treatment of TURS must be taken notice of, if capsule perforation occurs when TURP operation in progress. Less haematoma, clearview and normal anatomic structures can decrease the incidence of perforation.
