Abstract：Objective: To investigate the clinical efficacy and safety of transurethral enucleation and resection of the prostate (TUERP) in the treatment of benign prostatic hyperplasia (BPH) patients with acontractile detrusor (ACD). Methods: Clinical parameters were analyzed in 36 BPH patients with ACD, and statistical analyses were conducted after recording the clinical outcomes before and after operation. The statistic analysis indexes included international prostate symptom score (IPSS), maximum flow (Qmax), post void residual urine volume (PVR), and application of indwelling catheter. Results: The analysis results of clinical outcomes showed that after TUERP treatment, 24 and 33 patients got normal voiding after three months and six months of follow-up periods, respectively. As compared with preoperative IPSS, Qmaxand PVR (25.7±4.4, 3.4±2.9 mL/s, and 164.56±42.6 mL), they were significantly increased at 3rd month after surgery (11.30±1.30, 15.44±2.98 mL/s, and <50 mL), and the follow-up data got more significant improvements at 6th month after surgery (10.7±4.4, 18.44±3.18 mL/s, and <50 mL) (P<0.05 for all). Conclusions: TUERP is regarded as a fairly ideal method for BPH patients with ACD. However, the long-term efectiveness of TUERP is yet to be further proved by greater clinical experience with long-term follow-up period.
李国庆，庞鹏. 经尿道前列腺剜除术治疗逼尿肌无力的前列腺增生症的疗效观察[J]. 微创泌尿外科杂志, 2016, 5(4): 240-242.
Li Guoqing , Pang Peng. Clinical efficacy and safety of TUERP in the treatment of BPH patients with acontractile detrusor. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2016, 5(4): 240-242.
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