Divided lobectomy of transurethral enucleation of prostate and transurethral resection of prostate for large volume benign prostatic hyperplasia
Wei Qiaohong1 Li Tao1 Chen Guangyu1 Fu Chongde1 Tang Yao1 Jiao Lin1 Xie Shengtao1 Shi Tao2
1Department of Urology, Xi'an Aerospace General Hospital, Xi'an 710100, China; 2Department of Urology, Xi'an Jiaotong University Second Affiliated Hospital
Abstract:Objective: To evaluate the safety and effectiveness of divided lobectomy of transurethral enucleation of prostate (TUEP) and transurethral resection of prostate (TURP) for large volume benign prostatic hyperplasia. Methods: A retrospective analysis of the clinical data of 168 BPH patients with prostate volume lager than 80 mL was performed, and 168 BPH patients were divided to TUEP group (n=68) and TURP group (n=100). Comparisons were made between two groups in operating time, International Prostate Symptom Score (IPSS), quality of life (QOL), maximum urine flow rate (Qmax), residual urine volume and adverse events. Results: As compared with TURP group, the operating time was significantly shortened in TUEP group (P<0.05). However, there were no statistically significant differences between two groups in IPSS, QOL, Qmaxand residual urine volume (P>0.05). Meanwhile, IPSS, QOL, Qmaxand residual urine volume were significantly improved in TUEP and TURP groups postoperation as compared with those preoperation. Conclusions: Divided lobectomy of TUEP and TURP are equally effective procedure for larger BPH. Therefore, divided lobectomy of TUEP is a safe and effective method for large volume benign prostatic hyperplasia.
魏乔红 李涛 陈广瑜 傅崇德 汤尧 焦林 谢圣陶 石涛. 经尿道前列腺分叶剜除术与电切术治疗大体积前列腺增生症的比较研究[J]. 微创泌尿外科杂志, 2016, 5(5): 271-274.
Wei Qiaohong Li Tao Chen Guangyu Fu Chongde Tang Yao Jiao Lin Xie Shengtao Shi Tao. Divided lobectomy of transurethral enucleation of prostate and transurethral resection of prostate for large volume benign prostatic hyperplasia. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2016, 5(5): 271-274.
[1]Gratzke C, Bachmann A, Descazeaud A, et al. EAU Guidelines on the Assessment of Non-neurogenic Male Lower Urinary Tract Symptoms including Benign Prostatic Obstruction. Eur Urol, 2015,67(6):1099-1109. [2]李涛,魏娜沙,傅崇德,等.经尿道手术治疗良性前列腺增生系统评价/Meta分析的方法学和报告质量评价.中国循证医学杂志,2015,15(10):1224-1230. [3]Shimizu Y, Hiraoka Y, Iwamoto K, et al. Is complete resection of hypertrophic adenoma of the prostate possible with TURP? J Nippon Med Sch, 2005,72(3):146-148. [4]Shimizu Y, Hiraoka Y, Iwamoto K, et al. Measurement of residual adenoma after transurethral resection of the prostate by transurethral enucleation technique. Urol Int, 2005,74(2):102-107. [5]Li S, Zeng XT, Ruan XL, et al. Holmium laser enucleation versus transurethral resection in patients with benign prostate hyperplasia: an updated systematic review with meta-analysis and trial sequential analysis. PLoS One, 2014,9(7):e101615. [6]Jones P, Alzweri L, Rai BP, et al. Holmium laser enucleation versus simple prostatectomy for treating large prostates: Results of a systematic review and meta-analysis. Arab J Urol, 2016,14(1):50-58. [7]杨登科,焦湘,郭大勇,等.1.94μm铥激光分叶剜除法治疗良性前列腺增生的手术技巧及疗效.中华泌尿外科杂志,2015,36(增刊):74-77. [8]周红庆,张小德,桂俊卿,等.经尿道双极等离子前列腺腔内分段剜切术治疗前列腺增生症.现代泌尿外科杂志,2009,14(4):310-312. [9]韩聪祥,李金雨,林吓聪,等.分叶分隔法经尿道等离子双极电切术治疗大体积前列腺增生症.中国微创外科杂志,2015,15(5):425-427,430.