Transurethral vaporization of the prostate with prying-up technique in the treatment of benign prostatic hyperplasia in elderly patients
- VernacularTitle:经尿道前列腺电汽化联合撬拨术治疗高龄前列腺增生症
- Author:
Bailu JIAN
;
Xiaofeng DENG
;
Kangtai ZHANG
- Publication Type:Journal Article
- Keywords:
Benign prostatic hyperplasia;
Transurethral vaporization of the prostate;
Prying-up technique;
Aged
- From:
Chinese Journal of Minimally Invasive Surgery
2001;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore a new and effective minimally invasive procedure in the management of benign prostatic hyperplasia (BPH) in senile patients. Methods Transurethral vaporization of the prostate (TUVP) with prying-up technique was performed in 68 patients above the age of 80 with BPH. Results The mean procedure duration was 60 min, and the mean weight of resected prostate was 37.6 g. The mean intraoperative blood loss was 65 ml, and the mean hospital stay, 6 days. Postoperative ~follow-up for 0.5~2 years showed the international prostate symptom score (IPSS) decreased from 23.5?4.2 to 6.5?2.1, the quality of life index (QOL) was reduced from 4.6?0.6 to 2.2?0.2, the maximum flow rate (Qmax) elevated from 8.7?4.3 ml/s to 18.0?2.2 ml/s, and the residual urine (RU) dropped from 176.0?86.7 ml to 12.2?2.4 ml. As compared with preoperative values, all the parameters were significantly improved 6 months after the procedure (P