前列腺增生合并膀胱、输尿管结石的同期微创治疗

目的 总结前列腺增生并膀胱或输尿管结石的治疗方法及疗效.方法 回顾性分析198例BPH合并膀胱结石(112例)、输尿管结石(86例)患者的临床资料及随访结果.结果 输尿管结石均采用输尿管镜下气压弹道碎石、清石;膀胱结石分别采用一期电切环直径勾出(11例),大力碎石钳碎石(15例)、耻骨上经膀胱气压弹道碎石(9例)、经尿...

Minimal invasive techniques for benign prostatic hyperplasia ( BPH) combined with urethral/bladder calculi

Objectives To investigate the treatments and clinical effect for BPH combined with urethral/bladder calculi. Methods The clinical data of 198 cases of BPH combined with bladder calculi(112 cases) and urethral calculi(86 cases) underwent minimal invasive techniques were reviewed retrospectively. Results Minimal invasive techniques were:combination of transurethral resection of the prostate(TURP) .all urethral calculi cases were treated with ureteroscopic pneumatic lithotripsy( UPL) ; bladder calculi were treated with techniques: transurethral cystolithotripsy(n = 15),mini-incisions cystolithotomy(n=24) ,suprapubic ballistic lithotripsy (n =9) ,transurethral ballistic lithotripsy (n = 31 ) ;extracorporeal shock wave lithotripsy( ESWL) and then TURP( n =22). All the operations were successful,there were no post-operation vesical peiforation,no transurethral resection symptom (TURS),no blood transfusion,no open surgery cases,no residual calculi,and no other severe complications. After a follow up of six months, the international prostatic symptom score(IPSS) and maximum flow rate( MFR) were significantly improved, urinary incontinence and calculi recurrence, delayed blood loss were not found. Conclusions Several minimal invasive techniques were safe and effective,the option is second to synthetic data of patient 、diameter of calculi and medical apparatus and instruments.