良性前列腺增生及其伴发疾病的同期治疗

目的:探讨良性前列腺增生(BPH)及其伴发疾病一次性手术治疗方法。方法:对114例合并有腹股沟疝、尿道狭窄、膀胱肿瘤或膀胱结石的BPH患者在行经尿道前列腺电切/汽化术(TURP/TUVP)时,同期行腹股沟疝修补术、尿道内切开术、经尿道膀胱肿瘤电切术(TURB t)或膀胱取石术。结果:114例手术全部成功。随访3~60个月,TURP效果良好。30例腹股沟疝和39例膀胱结石均无复发。25例尿道狭窄1例术中血压明显下降,4例术后需继续尿道扩张。20例膀胱肿瘤未见前列腺窝种植转移,6例非原位复发者再次行经尿道膀胱肿瘤电切术。结论:BPH合并腹股沟疝、尿道狭窄、膀胱肿瘤或膀胱结石可一期手术处理。

Simultaneous Treatment for Benign Prostate Hyperplasia and Its Concomitant Diseases

Objective: To investigate the surgical treatment of benign prostate hyperplasia(BPH) and its concomitant diseases at the same time.Methods: One hundred and fourteen operations were performed for BPH patients,including transurethral resection/vapor of the prostate(TURP/TUVP),inguinal herniorrhaphy,internal urethrotomy,transurethral resection of bladder tumor(TURBt) or vesical litholapaxy,and the data were reviewed. Results: The procedures were successful in all cases.A followup of 3 to 60 months found a good outcome of TURP.There was no recurrence in 30 cases of inguinal hernia and 39 cases of vesical calculus.Of the 25 cases of urethral stricture,1 had an obvious hypotension during the operation and 4 needed urethral dilatation after operation.Six of the 20 cases of bladder tumor underwent a second TURBt due to the recurring tumor which was far from prostatic urethra.Conclusion: Inguinal hernia,urethral stricture,bladder tumor or vesical calculus can be treated simultaneously during TURP. Natl J Androl,2006,12(6):534-536