Experimental study and clinical application of transurethral electrochemical therapy on benign prostatic hyperplasia
- VernacularTitle:电化学治疗良性前列腺增生实验及临床观察
- Author:
Jie ZHANG
;
Yi YING
;
Xiaobin ZHANG
- Publication Type:Journal Article
- Keywords:
Benign prostatic hyperplasia;
Electrochemistry
- From:
Chinese Journal of Urology
2001;0(08):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the safety and efficiency of transurethral electrochemical therapy (ECT) on benign prostatic hyperplasia (BPH). Methods An experimental electrechomical therapy on prostate has been carred out in 12 dogs.The prostate tissue and the nearly organs were studied for any morphological changes.On the basis of the experiment,ECT was then carried out for 11 patients suffered from BPH.The relevant parameters were assessed. Results In the experimental group,good therapeutic effect was achieved if the electrode was 10 mm shorter than the prostatic urethra.On the other hand if the electrode was 10 mm longer than the prostatic urethera,urethro-rectal fistula and urine incontinence might result.In the clinical group,the effective rate was 82% with no complication observed.Before the treatment RI was 0.70?0.04 and 2 weeks after treatment 0.73?0.03;IPSS 26.7?6.2 and 19.5?4.7;QOL 4.9?0.5 and 3.5?0.6;Qmax (7.8?2.0) and (12.4?3.1)ml/s;PVR (129.1?40.8) and (64.1?27.4)ml;V (48.0?13.1) and ( 47.0?13.5)ml.There was significant difference of IPSS,QOL,Qmax,PVR,RI before and after treatment (P0.05). Conclusions With proper maniputation and adequate length of the electrode used,ECT is a safe,efficient and mini-invasive means for treating BPH in high risk patients nontolerable to open surgery.
