Clinical efficacy of laparoscopic Madigan enucleation in the treatment of BPH with large prostate volume
10.3760/cma.j.issn.1000-6702.2011.10.014
- VernacularTitle:腹腔镜下Madigan前列腺剜除术治疗大体积良性前列腺增生的疗效观察
- Author:
Changyi QUAN
;
Jing CHEN
;
Bo LI
;
Wenliang CHANG
;
Jiang WANG
;
Yuanjie NIU
- Publication Type:Journal Article
- Keywords:
Benign prostatic hyperplasia;
Laparoscopic surgery
- From:
Chinese Journal of Urology
2011;32(10):685-687
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the feasibility and clinical efficiency of laparoscopic Madigan enucleation of the prostate for the treatment of benign prostatic hyperplasia (BPH) with large prostate.Methods From Nov.2008 to Jan.2010,24 eases of BPH patients with large prostate ( ＞90 g) were treated in our institute by laparoscopic Madigan enucleation.The average patient's age was 65.2 yrs,the average prostate weight were 132.3 ± 21.9 g,preoperative residual urine was 143.2 ± 23.2 ml,average IPSS was 28.6 ± 3.8,average QOL was 5.5 ± 2.4 and average MFR was 5.4 ± 2.3 ml/s.All patients accepted the laparoscopic Madigan enucleation of the prostate.The pre-surgery and three months post-operative IPSS,QOL,and MFR were compared and analyzed.Results All 24 patients successfully completed the surgery.The resected prostate tissue weight was 104.7 ± 23.3 g,blood loss was 112.5 ± 47.8 ml,postoperative hospital stay was 3.5 ± 0.8 d,bladder irrigation time was 1.3 ± 0.9 d,drainage time was 2.3 ± 0.5 d and catheterization time was 3.1 ±0.4 d.Three months after surgery,patient's IPSS was 4.5 ± 1.8,QOL was 19.9 ±3.1,and MFR was 18.5 ±2.9 ml/s.All the parameters significantly improved compared with the pre-surgery data ( P ＜ 0.05 ).Conclusions Laparoscopic Madigan enucleation of the prostate is a safe and effective method in the treatment of BPH with large prostate volume.
