Clinical research of transurethral evaporation of prostate in the treatment of benign prostatic hyperplasia accompanies weak contractility of the bladder detrusor
TIAN Sheng-ping WANG Chong-shan YANG Wei-zhong ZENG Fan-fei
Department of Urology,the Third People′s Hospital of Huizhou City in Guangdong Province,Huizhou 516002,China
Abstract:ObjectiveTo analyze the clinical effect of transurethral evaporation of prostate (TUEP)in the treatment of benign prostatic hyperplasia (BPH)accompanies weak contractility of the bladder detrusor.Methods110 patients with BPH accompanies weak contractility of the bladder detrusor in our hospital from January 2014 to December 2015 were selected and randomly divided into the observation group and the control group,with 55 cases in each group.The observation group was treated with TUEP,and the control group was treated with transurethral resection of prostate(TURP).The time of the operation,bladder douche,catheter indwelling and intraoperative blood loss,weight of resected tissue of prostate of the two groups were recorded.The changes of the international packet switched service score(IPSS),maximum urine flow rates(Qmax)and post-void residual volumes(PVR)before and after surgery of the two groups were compared.The incidence of complications were recorded of the two groups intraoperative and during 3 months after postoperative.ResultsThe operation time,bladder douche time and catheter indwelling time in the observation group were significantly shorter than those in the control group,with significant difference(P<0.05).The intraoperative blood loss in the observation group was significantly shorter than that in the control group,the weight of resected tissue of prostate in the observation group was significantly higher than that in the control group,with significant difference(P<0.05).The postoperative IPSS and PVR in the two groups were significantly lower than those before the operation,and the Qmaxin the two groups was higher than that before the operation,with significant difference (P<0.05).There was no significant differences in the IPSS,Qmaxand PVR after operation between the two groups(P>0.05).The incidence rate of the total complications after the operation in the observation group was significantly lower than that in the control group,with significant difference (P<0.05).ConclusionThe time of the operation,bladder douche,catheter indwelling of TUEP are shorter than that of TURP,and the blood loss in the operation is less,in addition,the prostatic hyperplasia is resected more thoroughly,which can effectively improve the function of bladder detrusor of patients.TUEP has obvious advantages of fewer complications,lower surgical risk and higher security.
田生平 ;王崇山 ;杨伟忠; 曾繁飞. 经尿道前列腺剜除术治疗前列腺增生伴膀胱逼尿肌收缩无力患者的临床研究[J]. 中国当代医药, 2018, 25(6): 8-11.
TIAN Sheng-ping; WANG Chong-shan ;YANG Wei-zhong; ZENG Fan-fei. Clinical research of transurethral evaporation of prostate in the treatment of benign prostatic hyperplasia accompanies weak contractility of the bladder detrusor. 中国当代医药, 2018, 25(6): 8-11.
Yim PWC,Wenru W,Ying J,et al.Health-related quality of life,psychological well-being,and sexual function in patients with benign prostatic hyperplasia after prostatic surgery[J].Appl Nurs Res,2015,28(4):274-278.
Petros PEP.Detrusor instability and low compliance may represent different levels of disturbance in peripheral feedback control of the micturition reflex[J].Neurourol Urodyn,2015,18(2):81-91.
Yamasaki T,Naganuma T,Iguchi T,et al.Association between chronic kidney disease and small residual urine volumes in patients with benign prostatic hyperplasia[J].Nephrology(Carlton),2015,16(3):335-339.
Panovska Petrusheva A,Kuzmanovska B,Mojsova M,et al.Evaluation of changes in serum concentration of sodium in atransurethralresectionoftheprostate[J].Pril(MakedonAkad Nauk Umet Odd Med Nauki),2015,36(1):117-127.