Efficacy of transurethral enucleative resection of prostate using conventional resectoscope
GUAN Dehui1, LIU Xuening1, ZENG Xianhui1, JIANG Dongpeng1, CHEN Yang1, HAN Jianjun1, ZHANG Lei1, and ZHANG Hongying2
1.Department of Urological Surgery,Heilongjiang Provincial Corps Hospital,Chinese People’s Armed Police Forces, Harbin 150076,China; 2.Department of Quality Management, General Hospital of Chinese People’s Armed Police Force, Beijing 100039, China
Abstract:Objective To investigate the efficacy of transurethral enucleative resection of prostate(TUERP) with conventional resectoscope in the treatment of benign prostatic hyperplasia(BPH).Methods The clinical data of 86 BPH patients treated with TUERP were analyzed retrospectively.International Prostate Symptom Score (IPSS), the index of life quality (QOL), maximum urinary flow rate(Qmax) and residual urine volume (PVR)before and after the treatment were compared respectively.Results The operation was completed successfully in all the 86 patients, and the average operation time was(62.7±19.3)min;the average removed glands were (37.2± 8.5) g in weight.The IPSS decreased from(23.9±5.2)points to(5.4±3.7) points; QOL decreased from(4.6±1.1)points to(1.2± 0.9)points;Qmax increased from(6.3±2.0)ml/s to (21.0±3.6) ml/s; PVR decreased from(149.0±35.8)ml to (21.2±9.9)ml. Three patients had postoperative transient urinary incontimence, and 1 patient had urethral stricture,but recovered after treatment.Conclusions Compared with transurethral resection of prostate (TURP), TUERP has the advantages of short operation time, less complications, quick recovery and obvious symptom relief. It is a safe and effective therapy for BPH.
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