前列腺增生术与膀胱癌术后复发的临床评估

目的:探讨同时切除前列腺和膀胱癌对膀胱癌复发的影响。方法:回顾性总结26例同时行TUR-BT+TURP病例中获得随防的21例BPH合并膀胱癌的患者,综合评价同时手术与膀胱肿瘤复发的关系。结果:26例获随防的21例病例中共有9例复发,复发率42.9%。在膀胱颈前列腺窝复发1例(占9.09%),1例因发生远处转移拒绝再治疗而死亡,3例死于心肺等其他疾病。结论:BPH合并非肌层浸润性膀胱癌患者同时行TUR-BT+TURP是可行的。对膀胱癌复发没有影响。

Clinic evaluate of the effect of simultaneous transurethral resection of benign prostatic hyperplasia and bladder tumor on recurrence at the bladder tumor

Objective： To study the effect of simultaneous transurethrat resection of benign prostatic hyperplasia（TURP） and bladder tumor（TURBT） on recurrence at the bladder tumor. Methods：Date of 21 patients with BPH and bladder tumor out of 26 cases underwent simultaneous TURBT and TURP were analyzed. The relationship of the recurrence of simultaneous operation and bladder tumor were analyzed systematically. Results： Out of 21 patients,9 had recurrence （42.9%）. 1 case had recurrence at the bladder neck and prostatic urethra （9.9%）. 1 case refusing therapy died from metastasis. 3 cases died from cardiac and plumary diseases or other causes. Conclusions： Simultaneous TURP and TURBT is effective for the BPH and non invasive bladder tumor cases, and it does not affect the tumor recurrence.