Transurethral Plasmakinetic Enucleation of the Prostate Combined With Suprapubic Cystostomy Rotary Resection in the Treatment of Big Benign Prostatic Hyperplasia
10.3969/j.issn.1009-6604.2018.05.010
- VernacularTitle:等离子前列腺剜除联合经膀胱前列腺旋切治疗大体积前列腺增生
- Author:
Dawei CAI
1
;
Guangqi KONG
Author Information
1. 首都医科大学附属北京潞河医院泌尿外科
- Keywords:
Benign prostatic hyperplasia;
Transurethral plasmakinetic enucleation of the prostate;
Rotary resection
- From:
Chinese Journal of Minimally Invasive Surgery
2018;18(5):419-421
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the efficacy and safety of transurethral plasmakinetic enucleation of the prostate (PKEP)combined with suprapubic cystostomy rotary resection in the treatment of large volume(>100 ml)benign prostatic hyperplasia(BPH). Methods From June 2015 to December 2015,28 patients with BPH[volume,(112.6 ±9.8)ml]were given transurethral PKEP.The resected gland was pushed into the bladder and the vesical stoma was extended.Whereafter a 10 mm trocar was introduced via suprapubic cystostomy, and then rotary resection of glands was performed and removed under transurethral observation. Results All the operations were successfully completed.The operating time was(85.8 ±26.5)min,the enucleation time was(38.0 ±11.3)min, and the rotary resection time was(47.5 ±20.2)min.Two patients had much flushing fluid extravasated into retropubic space and were given no special treatment.Two patients suffered the complication of transient stress urine incontinence after removal of catheter,and they were recovered within 4 weeks.Follow-up for 3-6 months found no urethral stricture. The IPSS scores at 3 months after operation were(13.5 ±3.6)points. Conclusion Transurethral PKEP combined with suprapubic cystostomy rotary resection in the treatment of large BPH is safe.
