Risk factors of acute epididymo-orchitis after transurethral plasma enucleation and resection of prostate / 中国医师进修杂志

ABSTRACT

Objective:To explore the risk factors of acute epididymo-orchitis after transurethral plasma enucleation and resection of prostate (TUERP).Methods:The clinical data of 710 patients with benign prostatic hyperplasia (BPH) from June 2015 to September 2018 in the Second Hospital of Dalian Medical University were retrospectively analyzed. Among them, 220 cases were treated with TUERP and 490 cases were treated with transurethral resection of prostate (TURP). The incidence of postoperative acute epididymo-orchitis was compared between 2 groups and the risk factors of acute epididymo-orchitis were analyzed.Results:The incidence of epididymo-orchitis in TUERP patients was significantly higher than that in TURP patients: 9.55% (21/220) vs. 4.08% (20/490), and there was statistical difference ( χ2 = 8.33, P<0.01). Univariate analysis result showed that diabetes mellitus, postoperative indwelling catheterization > 3 d, preoperative leukocyte positive, prostate volume > 80 ml and operation time > 90 min were the risk factors of acute epididymo-orchitis after TUERP ( P<0.01 or <0.05). Logistic regression analysis result showed that prostate volume > 80 ml and postoperative indwelling catheterization > 3 d were the independent risk factors of acute epididymo-orchitis after TUERP ( OR = 12.402 and 3.642, 95% CI 4.581 to 33.579 and 1.218 to 11.204, P<0.01 or <0.05). Conclusions:Prostate volume > 80 ml and postoperative indwelling catheterization > 3 d are independent risk factors of acute epididymo-orchitis after TUERP.