Transurethral plasmakinetic enucleation and resection of prostate combined with mini-incision for senior and high-risk benign prostatic hyperplasia complicated with bladder stones
10.3969/j.issn.1007-1989.2017.07.008
- VernacularTitle:经尿道前列腺等离子剜除术联合小切口治疗高龄高危良性前列腺增生合并膀胱结石的研究
- Author:
Dengpan FANG
- Keywords:
senior and high-risk;
transurethral plasmakinetic enucleation and resection of prostate;
mini-incision;
benign prostatic hyperplasia;
bladder stones
- From:
China Journal of Endoscopy
2017;23(7):35-38
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical safety and effect of transurethral plasmakinetic enucleation and resection of prostate combined with mini-incision in the treatment of senior and high-risk benign prostatic hyperplasia (BPH) with bladder stones. Methods Clinical data of 42 patients of senior and high-risk benign prostatic hyperplasia (BPH) with bladder stones was analyzed. All patients were treated with transurethral plasmakinetic enucleation and resection of prostate combined with mini-incision cystofithotomy. Results All operations were successfully performed without deaths. The operative time was 52~86 min, mean (63.90 ± 16.60) min. The blood loss was 45.0~136.0 ml, mean (73.90 ± 21.10) ml. There were no significant differences in the immediate life characteristics, serum K+, serum brain natriuretic peptide and other internal environmental indexes before and after operation. There were no serious complications in perioperation. 3 months after operation, international prostate symptomscore (IPSS), quality of life score (QOL), the maximum flow rate (Qmax) improved significantly compared with preoperation, significantly reduced the post void residual volume (PVR). Conclusion Transurethral plasmakinetic enucleation and resection of prostate combined with mini-incision can be particularly applied to elderly patients with high risk BPH complicated with bladder stones with efficaciously and more safety.
