Curative effects of transvesical robot-assisted radical prostatectomy treat for recalcitrant bladder neck contracture after holmium laser enucleation of prostate
10.3760/cma.j.cn112330-20240427-00199
- VernacularTitle:经膀胱途径机器人辅助根治性前列腺切除术治疗钬激光前列腺剜除术后顽固性膀胱颈挛缩的疗效
- Author:
Shuai WANG
1
;
Qi ZHANG
1
;
Chong YU
1
;
Jing QUAN
1
;
Xiaolong QI
1
;
Dahong ZHANG
1
Author Information
1. 浙江省人民医院 杭州医学院附属人民医院泌尿外科，杭州 310004
- Publication Type:Journal Article
- Keywords:
Robotic surgery;
Radical prostatectomy;
Recalcitrant bladder neck contracture;
Benign prostate hyperplasia
- From:
Chinese Journal of Urology
2024;45(10):786-788
- CountryChina
- Language:Chinese
-
Abstract:
This study used transvesical robot-assisted radical prostatectomy to treat 8 patients with recalcitrant bladder neck contracture after holmium laser enucleation of the prostate. The patients had an average age of (73.3±3.7) years, prostate volume of (34.2±11.4)ml, and Q max of (4.1±0.6) ml/s, post-void residual urine volume(PVR) of (186.7±46.7) ml, international prostate symptom score (IPSS) of (31.2±2.2), and quality of life (QOL) score of (5.3±0.4). The surgical procedure involved incising the posterior bladder wall, performing a circular resection of the diseased bladder neck, dissecting the vas deferens and seminal vesicles, and transecting the urethra. The bladder neck was then reconstructed using double-needle barbed sutures. All surgeries were successfully completed, with an average operating time of (127.5±18.3) min, blood loss of (55.0±15.0) ml, and a postoperative hospital stay of (7.5±1.0) days. Three months after surgery, the Q max increased to (18.0±1.6) ml/s, the PVR decreased to (24.2±15.8) ml, the IPSS improved to (10.7±1.7), and the QOL score improved to (1.0±0.3). All patients had continence within 6 months.
