Effectiveness of holmium laser prostatic enucleation combined with suprapubic cystostomy in the treatment of benign prostatic hyperplasia complicated with subclinical urethral stricture
Liu Hao1, Liu Yongguo2, Li Bao2, Feng Bo2, Luan Zhimin2,*
1Weifang Medical University; 2Department of Urology, Affiliated Hospital of Weifang Medical University, Weifang 261000, China
Abstract：Objective： To investigate the efficacy of transurethral holmium laser prostatice nucleation （HoLEP） combined with suprapubic cystostomy in the treatment of benign prostatic hyperplasia （BPH） complicated with subclinical urethral stricture. Methods： The clinical data of 43 patients with BPH complicated with subclinical urethral stricture admitted to Urology Department of Affiliated Hospital of Weifang Medical University from January 2018 to January 2021 were retrospectively analyzed. HoLEP was performed only through the inner sheath, combined with suprappubic cystostomy for continuous irrigation and tissue fragmentation. The changes of international prostate symptom score （IPSS）,quality of life （QOL） score, the maximum flow rate （Qmax）,post-voiding residual urine volume （PVR） were compared before and after operation, and perioperative related indicators and complications were recorded. Results： All the 43 patients were successfully operated without bladder mucosa injury and urethral stricture. At 6th month after surgery, IPSS [（5.74±1.46） vs. （21.83±3.32） points],QOL [（4.36±0.92） vs. （1.43±0.54） points],Qmax [（5.42±1.35） vs.（20.54±3.79） ml/s] and PVR [（17.58±5.55） vs. （117.13±20.52） ml] were significantly improved as compared with those before surgery （P < 0.01）. Conclusion： HoLEP combined with suprapubic cystostomy has good efficacy in the treatment of BPH patients complicated with subclinical urethral stricture without complications such as progression of urethral stricture, which is expected to be further popularized in clinical practice.
刘豪, 刘永国, 李宝, 封波, 栾志敏. 钬激光前列腺剜除术联合耻骨上膀胱造瘘治疗良性前列腺增生合并亚临床尿道狭窄的疗效[J]. 微创泌尿外科杂志, 2022, 11(1): 20-23.
Liu Hao, Liu Yongguo, Li Bao, Feng Bo, Luan Zhimin. Effectiveness of holmium laser prostatic enucleation combined with suprapubic cystostomy in the treatment of benign prostatic hyperplasia complicated with subclinical urethral stricture. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2022, 11(1): 20-23.
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