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Objective To study transureteroscopic holmium laser technology in urethral stricture.Methods 68 patients with urethral stricture were randomly divided into the two groups,the observation group (n =34 cases) and the control group (n =34 cases).The patients in the observation group were operated through transureteroscopic holmium laser technology,while the patients in the control group were operated through cold knife urethrotomy technology.The operation time,blood loss,hospital stay,maximum urinary flow rate,urinary extravasation,secondary bleeding,rectal injury,recurrence and reoperation were observaed.Results The operative time was longer in the control group [(31.24 ± 9.71) min vs (22.37 ± 9.22) min] (t =3.914,P ＜ 0.05).The blood loss,hospital stay in the observation group were less than these in the control group[(13.28 ± 5.24)mL,(4.06 ± 1.16)d vs (28.31 ± 7.19) mL,(5.92 ± 1.71) d)] (t =4.091,2.776,all P ＜ 0.05).After treatment,patients have a significantly increased maximum urinary flow rate (t =5.163,9.772,P ＜ 0.05,P ＜ 0.01),and compared with the control group after treatment,the observation group was significantly more improved Qmax (t =4.291,P ＜ 0.05).Postoperative control group of 12 patients developed complications,the incidence was 35.3％.The observation group had complications occurred in 2 patients,the rate was 5.9％.The incidence of complications in the observation group was significantly less than the control group (x2 =7.240,P ＜ 0.05).Patients were followed up for 1 year,and the recurrence rate in the control group(16％,11％) were significantly higher than those in the observation group (4％,1％) (x2 =11.290,13.860,all P ＜ 0.01).Conclusion Transureteroscopic holmium laser technology had a significant effect,fewer complications,a low incidence of recurrence and surgery in patients with urethral stricture.
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Objective To evaluate the clinical effect and safety of transurethral enucleation of prostate with the bipolar plasma kinetic technique(PKEP)in the treatment of benign prostate hyperplasia (BPH)more than 80 mL.Methods The data from the 116 patients who underwent the PKEP were analyzed retrospectively.The clinical parameters include operation time,blood loss, postoperative catheter retention time,postoperative complication rates,the differences of the clinical parameters pre-and postopera-tively were compared,include maximum urine flow rate(Qmax),residual urine(RU),international prostate symptoms score(IPSS), and quality of life(QOL).Results Mean operation time was (87.46±25.01)min,Mean blood loss was (129.15±44.35)mL.Mean resected tissue weight was (77.67±19.56)g.No patient had the transurethral resection syndrome(TURS),All cases were followed up for 3 to 6 months,the clinical parameters pre-and postoperatively was respectively:Qmax(6.04±2.37)mL/s vs.(17.85±2.55) mL/s;RU(116.25±53.18)mL vs.(8.85±7.66)mL;IPSS(25.06±4.23)vs.(5.90± 1.91);QOL(4.85 ±0.65)vs.(1.71± 0.54).Conclusion The transurethral enucleation of prostate with the bipolar PKEP resects the proliferated prostate cleanly,had lesser bleeding and complication rates,had advantages of high safety,and satisfactory efficacy for the treatment of BPH more than 80 mL.
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<p><b>OBJECTIVE</b>To compare the incidence rates of postoperative urinary incontinence between transurethral bipolar plasmakinetic enucleation and resection of the prostate (PKERP) and transurethral bipolar plasmakinetic resection of the prostate (PKRP), and provide evidence for the clinical application of PKERP.</p><p><b>METHODS</b>Totally, 180 BPH patients were equally and randomly assigned to undergo PKERP and PKRP, respectively. We measured the urinary incontinence of the patients by pad test at 24 hours after extubation and every week after surgery for 4 weeks. Meanwhile, we recorded and compared the PSA level, prostate volume, Qmax, residual urine, IPSS, QOL, and the results of pad test between the two groups before and after surgery.</p><p><b>RESULTS</b>The incidence rates of urinary incontinence in the PKERP and PKRP groups were 35.56% and 18.89% (P < 0.01) at 24 hours after extubation, 20.00% and 7.78% at 1 week after surgery (P < 0.05), and 3.33% and 2.22% at 2 weeks. There was no significant difference in the severity of urinary incontinence between the two groups at any time point (P > 0.05). No permanent urinary incontinence was observed in either group.</p><p><b>CONCLUSION</b>Compared with PKRP, PKERP has a higher incidence rate of short-term urinary incontinence in the treatment of BPH, but not that of genuine incontinence, with similar severity and recovery time.</p>
Subject(s)
Aged , Humans , Male , Incidence , Postoperative Complications , Epidemiology , Prostatic Hyperplasia , General Surgery , Single-Blind Method , Transurethral Resection of Prostate , Methods , Urinary Incontinence , EpidemiologyABSTRACT
Objective To study the effect of improved laparoscopic techniques on ability of control urine in patients with prostate cancer.Methods 96 patients with prostate cancer were randomly divided into two groups,the observation group(51 cases) and the control group(45 cases).The patients in the control group were operated through the conventional treatment,while the patients in the observation group were operated through the improved laparoscopic technique,which protected the external urethral sphincter,reserved urinary nerve and reconstructed the bladder neck.The ability to control urine for 30,60 and 90 days were compared between two groups.Results The time of operation and bleeding of operation had no significant differences between two groups (all P ＞ 0.05).There were significant differences between two groups in indwelling catheter time and the ability to control urine for 30 ;60 and 90 days (t=10.0359,P＜0.05;t=7.9746,14.0205,10.8445,all P＜0.01).Conclusion Improved laparoscopic technique can improve the ability of control urine in patients with prostate cancer after operation.