良性前列腺增生及其伴发疾病的同期治疗(附205例报告)

目的 探讨良性前列腺增生症(BPH)及其伴发疾病的同期手术治疗方法及疗效、安全性.方法 对205例BPH合并膀胱结石、腹股沟疝、尿道狭窄或膀胱肿瘤的患者在行耻骨上经膀胱前列腺摘除术或经尿道前列腺等离子电切术时,同期行膀胱取石或碎石术、腹股沟疝无张力修补术、尿道内切开术、经尿道膀胱肿瘤电切术(TURBt).随访期间回顾性...

Simultaneous Treatment for Benign Prostate Hyperplasia and Its Concomitant Diseases

Objectives To investigate the effectiveness and safety of the surgical treatment of benign prostate hyperplasia(BPH)and its concomitant diseases at the same time.Methods 205 cases with BPH and other diseases have been treated simultaneously,including suprapubic prostatectomy or transurethral resection of prostate (TURP),inguinal herniorrhaphy,transurethral urethrotomy,transurethral resection of bladder tumor(TURBt)or vesical litholapaxy.During the follow-up,all the cases' micturition,complications,concunent disease situation were analyzed retrospectively.Results The treatments were successful in all cases.None had complications and none was dead in hospitalization.During the follow-up from 3 months to 91 months,all the patients are satisfactory in micturition.There was no recurrence in 33 cases of inguinal hernia and 128 cases of vesical calculi.Of the 16 cases of urethral stricture,one failed to transurethral urethrotomy for the obvious stricture and treated with open operation,the other 4 cases needed urethral dilatation after operation regularly.Seven of the 28 cases of bladder tumor underwent a second TURBt due to the recurring tumor which was far from prostatic urethra.No one was recurrent after the second operation.Conclusions BPH patients with inguinal hernia,urethral stricture,bladder tumor or vesical calculus can be treated simultaneously,which is safe and effective.Transurethral operation is thefirst choice for these patients if only the medical conditions is permitted.