前列腺增生合并膀胱癌的腔内手术治疗

目的 探讨前列腺增生症合并膀胱癌的治疗方法和效果。方法 回顾性分析37例前列腺增生症合并膀胱癌患者的临床资料。结果 37例均同期行膀胱肿瘤及前列腺汽化电切术（TVP和TVBT），平均手术时间为75分钟，全部病例无输血和膀胱穿孔。术后平均留置尿管50小时，37例随访7—54个月，复发5例，复发率为13．8％（5／37）。结论 BPH患者易并发膀胱肿瘤，TVP和TVBT同期手术具有良好的治疗效果，尤其适合高危高龄患者。

Transurethral electrovaporization treatment of BPH complicities with bladder tumor

Objective To evaluate the therapeutic result of the benign prostates hyperplasic(BPH) complicated with bladder tumor.Methods 37 cases of the BPH complicated with bladder tumor treated by transurethral electrovaporization of the prostate(TVP) and transurethral electro vaporization of the bladder tumor(TVBT) was reviewed between January 2002 and January 2006.Results The BPH complicated with bladder tumors were operated successfully by TVP and TVBT in one-staged for 37 patients.The mean operative time was 75 minutes in the group perfuming both TVP and TVBT.No patient need blood transfusion for bleeding and occurred intraoperative bladder perforation.The mean duration of an indwelling urethral catheter was 50h.All patients were followed up for 7 to 54 months,and the recurrence rate of the tumor was 13.8%(5/37) after operation.Conclusion The patient with BPH has a higher incidence rate of bladder tumor.TVP and TVBT were effective and safe surgery for the treatment of BPH complicated with bladder tumor in one staged.This procedure is especially applicable to patients with advance age.