Treatment of benign prostate hyperplasia combined with mild urethra stenosis

VernacularTitle:良性前列腺增生合并轻度尿道狭窄的治疗
Author: Jianwen HUANG ¹ ; Zhiqiang LUO ; Nailong CAO ; Xiaoyong HU ; Jiong ZHANG ; Hui GUO ; Lujie SONG ; Qiang FU
Author Information

1. 上海交通大学附属第六人民医院泌尿外科，上海东方泌尿修复重建研究所，上海　200233
Keywords: Benign prostate hyperplasia; Urethra stenosis; Holmium laser; Enucleation; Laparoscopy
From: Chinese Journal of Urology 2022;43(8):616-617
CountryChina
Language:Chinese
Abstract: We retrospectively analyzed the clinical data of 21 patients diagnosed with BPH combined with mild urethra stenosis from January 2018 to December 2020. 12 patients underwent holmium laser enucleation of prostate (HoLEP). There were 3 cases of serious urethra stenosis requiring repeat surgical treatment after surgery, 9 cases of unobstructed voiding, 4 cases of reverse ejaculation and 2 cases of temporary urinary incontinence. 9 patients underwent laparoscopic simple prostatectomy (LSP) and all patients had unobstructed voiding. There were no cases of severe urethral stricture, temporary urinary incontinence and retrograde ejaculation in LSP group. LSP has reduced the risk of a repeat urethral surgery because of transurethral operation increasing the degree of urethra stenosis.