Comparison of effects of transurethral enucleation of prostate and suprapubic prostatectomy in the treatment of massive prostatic hyperplasia
10.3760/cma.j.issn.1008-6706.2019.20.008
- VernacularTitle: 经尿道前列腺剜除术与耻骨上前列腺切除术治疗大体积前列腺增生的效果比较
- Author:
Yibing WANG
1
;
Xia WANG
1
Author Information
1. Department of Urology, Shengjing Hospital Affiliated to China Medical University, Shenyang, Liaoning 110004, China
- Publication Type:Journal Article
- Keywords:
Prostatic hyperplasia;
Prostatectomy;
Transurethral resection of prostate;
Hemoglobins;
Administration, intravesical;
Postoperative complications
- From:
Chinese Journal of Primary Medicine and Pharmacy
2019;26(20):2467-2470
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the clinical effects of transurethral prostatectomy(TUERP) and suprapubic prostatectomy(SP) in the treatment of massive prostatic hyperplasia.
Methods:The clinical data of 40 patients with benign prostatic hyperplasia(BPH) with a volume range of 80-150 mL from October 2015 to October 2017 in Shengjing Hospital of China Medical University were retrospectively analyzed.They were divided into two groups: TUERP group(20 cases) and SP group(20 cases). The length and distribution of large prostate were measured.The degree of hemoglobin decrease, bladder irrigation time, operation time, indwelling catheter time, maximum urine flow rate(Qmax), international prostate symptom score(IPSS), prostate specific antigen(PSA), residual urine volume(PVR) and the incidence of complications were compared between the two groups before and after operation.
Results:It was found that the length of the prostatic fossa was less than 5 cm in patients with large prostatic hyperplasia whose volume ranged from 80 to 150 mL.After operation, the degree of hemoglobin decrease, bladder irrigation time, indwelling catheter time and the incidence of complications in the TUERP group were (7.9±2.3)g/L, (42.5±3.6)h, (5.3±1.1)d, 15%(3/20), respectively, while in the SP group were (14.2±4.4)g/L, (62.6±6.0)h, (7.8±0.8)d and 50%(10/20), respectively, there were statistically significant differences between the two groups(t=-5.7, -12.8, -8.6, χ2=5.6, all P<0.05). There were no statistically significant differences in operation time, Qmax, IPSS, PSA and PVR between the two groups(all P>0.05).
Conclusion:After TUERP treatment of large prostate hyperplasia, the improvement of urination and the decrease of PSA is similar to SP, and the hemostasis effect is good, the complications are less and the recovery is faster.
