Prostatectomy with bladder-flap-plasty in elderly patients:analysis of 63 cases
- VernacularTitle:老年人膀胱瓣成形前列腺切除术63例临床分析
- Author:
Jian YAO
- Publication Type:Journal Article
- Keywords:
Prostatec hyperplasia;
Prostaatectomy
- From:
Chinese Journal of Geriatrics
2003;0(11):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the safety and effectiveness of the prostatectomy with bladder-flap-plasty for the treatment of benign prostatic hyperplasia(BPH).Methods The clinical data of sixty-three cases with BPH who underwent suprapubic prostatectomy combined with bladder flap-plasty were analyzed.Results Fifty-five cases(87.3%)were followed up for a mean of 23 months.The mean operative time was 60 min,the mean catheter indwelling time was 3 days,the mean bladder irrigation time was 2 days,irrigating fluid of 39 cases(61.9%)turned clear at the first day after operation,the mean hospital stay period was 9 days.Of the 55 cases,2 had urethra mouth stricture,1 had bladder surge and was powerless to urinate for 1 month after operation.All the above cases were medically managed,and the success rate was 100%.Five months after operation, international prostate symptom score(IPSS),quality of life(QOL)score,maximum flow rate (MFR)and postvoid residual rate(PVR)were improved significantly compared with those of pre- operation(P＜0.01).Conclusions The research demonstrates that prostatectomy in combination with hladder-flap-plasty is safe and effective,and the operative complications is little.
