Abstract：Objective: To explore the safety and efficacy of suprapubic cystolithotomy combined with TUVP+TURP and Holmium laser lithotripsy+TURP for high-risk ederly patients with benign prostatic hyperplasia (BPH) complicated with multiple bladder calculi. Methods: A retrospective study was conducted on the total of 102 high-risk elderly patients with BPH with multiple baldder calculi. The patients were randomly given suprapubic cystolithotomy combined with TUVP+TURP (n=53) as observation group, or Holmium laser lithotripsy+TURP (n=49) as control group. The intraoperative and postoperative related indicators were compared between the two groups. Results: All operations were successfully performed. All patients were followed up for 7 to 13 months, an average of 8.4 months. In observation group and control group, the lithotripsy time was (15.8±7.5) min and (51.6±18.4) min (P<0.01); the mean operation time was (78.2±7.3) min and (138.4±12.6) min (P<0.01); postoperative blood loss was (126.4±26.7) mL and (184.2±28.3) mL (P<0.01), respectively. All patients were followed up for 6 months. RUV, Qmax, IPSS, QUV were obviously improved postoperatively in all patients as compared with the preoperative data, but there was no significant difference between the two group. Conclusions: The two methods have the advantages and disadvantages in the treatment of the elderly and high risk BPH patients with bladder multiple calculi. The holmium laser lithotripsy +TURP method has a long operation time and more intraoperative bleeding, very few patients had thrombosis of lower limbs, and indwelling catheter time and hospital stay are short. The small incision of the suprapubic cystolithotomy combined with TUVP+TURP had shorter operative time, less intraoperative bleeding, and there was no thrombosis of the lower limbs after operation. The operation was relatively safe, but the time of indwelling catheter and the length of hospital stay were long.
董滢, 卜小斌, 许平, 黄治鑫. 两种方法治疗高龄、高危BPH合并膀胱多发结石的疗效比较[J]. 微创泌尿外科杂志, 2018, 7(4): 254-257.
Dong Ying, Bo XiaoBin, Xu Pin, Huang ZhiXin. Two different methods for the treatment of high-risk elderly patients with BPH complicated with multiple bladder calculi. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2018, 7(4): 254-257.
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