|
|
|
| Influence of precision-precise dissection of urethral mucosa at prostatic apex during transurethral enucleation of prostate on postoperative urinary control in patients |
| ZENG Xian-you LI Qiu-shui XIAO Wen-xing▲ |
| Department of Urology, Affiliated Hospital of Jinggangshan University, Jiangxi Province, Ji′an 343000, China |
|
|
|
|
Abstract Objective To observe the influence of precision-precise dissection of urethral mucosa at prostatic apex during transurethral enucleation on postoperative urinary control in patients. Methods A total of 80 cases of benign prostate hyperplasia in Affiliated Hospital of Jinggangshan University were selected and randomly divided into the experimental group (40 cases) and the control group (40 cases) according to random number table method. In the control group, the urethral mucosa in the apex of the prostate was concentrated to 12 o′clock and then dissected after anatomic enucleation of the prostate. In the experimental group, the urethral mucosa at the apex of the prostate was accurately dissected before enucleation, and then the prostate was anatomically enucleated. The incidence of postoperative urinary incontinence, recovery time of urinary control, perioperative period indexes such as total operative time, time of gland dissection, intraoperative blood loss, bladder irrigation time, catheter indwelling time, postoperative hospitalization time and follow-up results were compared between the two groups. Results The incidence of urinary incontinence in the experimental group was lower than that in the control group, the difference was statistically significant (P<0.05). The recovery time of urinary control in the experimental group was shorter than that in the control group, the difference was statistically significant (P<0.05). There were no significant differences in the indexes of perioperative period indexes such as the total operative time, dissection time, intraoperative blood loss, bladder irrigation time, catheter indwelling time, postoperative hospitalization time and postoperative follow-up efficacy of International Prostate Symptom Scale(IPSS), the score of quality of life (QOL), Qmax, postvoid residual (PVR) between the two groups (P>0.05). Conclusion Precise separation of the urethral membrane of the apex of the prostate during transurethral enucleation of the prostate can reduce the incidence of urinary incontinence and shorten the recovery time of urinary control.
|
|
|
|
|
|
| [5] |
刘俊峰，刘春晓，谭朝晖，等.经尿道双极等离子前列腺剜除术与电切术后尿失禁发生率的随机对照研究[J].中华男科学杂志，2014，20（2）：165-168.
|
| [6] |
那彦群，叶章群，孙颖浩，等.中国泌尿外科疾病诊断治疗指南（2014 版）[M].北京：人民卫生出版社，2014：245-247.
|
| [9] |
Herrmann TR.Enucleation is enucleation is enucleation is enucleation[J].World J Urol，2016，34（10）：1353-1355.
|
| [10] |
胡永涛，邹志辉，梁朝朝.前列腺增生外科治疗新进展[J].中华腔镜泌尿外科杂志（电子版），2021，15（1）：84-88.
|
| [13] |
程洪林，郭闯，李旭明，等.剜除术与电切术治疗超大前列腺增生的临床疗效分析[J].重庆医学，2017，46（11）：1497-1499.
|
| [14] |
黄应龙，王金明，丁明霞，等.主动保留尿控结构的HoLEP和TUPKEP 疗效对比分析[J].临床泌尿外科杂志，2018，33（9）：687-692.
|
| [18] |
吴进锋，魏永宝，林乐，等.经尿道钬激光前列腺剜除术的技术要点和尿道黏膜保留的策略[J].现代泌尿外科杂志，2020，25（4）：289-292.
|
| [1] |
Liu X，Huang G，Chen P，et al.Comparative effects of Yi Jin Jing versus Tai Chi exercise training on benign prostatic hyperplasia-related outcomes in older adults：study protocol for a randomized controlled trial[J].Trials，2016，17（1）：319.
|
| [2] |
Hirasawa Y，Kato Y，Fujita K.Transurethral enucleation with bipolar for benign prostatic hyperplasia：2-year outcomes and the learning curve of a single surgeon′s experience of 603 consecutive patients[J].J Endourol，2017，31（7）：679-685.
|
| [3] |
Chen YB，Chen Q，Wang Z，et al.A prospective，randomized clinical trial comparing plasmakinetic resection of the prostate with holmium laser enucleation of the prostate based on a 2-year followup[J].J Urol，2013，189（1）：217-222.
|
| [4] |
Anan G，Kaiho Y，Iwamura H，et al.Preoperative pelvic floor muscle exercise for early continence after holmium laser enucleation of the prostate：a randomized controlled study[J].BMC Urol，2020，20（1）：3.
|
| [7] |
Yoo S，Park J，Cho SY，et al.Usefulness of the frequencyvolume chart over the International Prostate Symptom Score in patients with benign prostatic hyperplasia in view of global polyuria[J].PLoS One，2018，13（7）：e0197818.
|
| [8] |
MP，García R，Araya AX.Fragilidad y su correlación con calidad de vida y utilización de los servicios de salud en personas mayores que viven en la comunidad [Quality of life among frail older people][J].Rev Med Chil，2019，147（7）：870-876.
|
| [11] |
Montorsi F，Naspro R，Salonia A，et al.Holmium laser enucleation versus transurethral resection of the prostate：results from a 2-center，prospective，randomized trial in patients with obstructive benign prostatic hyperplasia [J].J Urol，2008，179（5）：S87-S90.
|
| [12] |
Wang H，Xiao X，Lu J，et al.Factors associated with clinical out-come in 25 patients with avian influenza A （H7N9）infection in Guangzhou，China[J].BMC Infect Dis，2016，16（1）：534.
|
| [15] |
Nam JK，Kim HW，Lee DH，et al.Risk factors for transient urinary incontinence after holmium laser enucleation of the prostate[J].World J Mens Health，2015，33（2）：88-94.
|
| [16] |
Hirasawa Y，Kato Y，Fujita K.Age and prostate volume are risk factors for transient urinary incontinence after transurethral enucleation with bipolar for benign prostatic hyperplasia[J].Int J Urol，2018，25（1）：76-80.
|
| [17] |
吴进锋，张延榕，李涛，等.“完整保留前列腺尖部尿道黏膜”的经尿道钬激光前列腺剜除术[A]//中国中西医结合学会男科专业委员会.首届男性大健康中西医协同创新论坛暨第三届全国中西医结合男科青年学术论坛论文集[C].中国中西医结合学会男科专业委员会，中国中西医结合学会，2019：2.
|
|
|
|
