Preservation of 12 o'clock position urethral mucosa in transurethral enucleation of the prostate reduced incontinence rate in patients with benign prostate hyperplasia
Liu Shangwen1, Wang Yadong1, Lin Feng1
1Department of Urology, Shenzhen Traditional Chinese Medicine Hospital, Shenzhen 518036, China
Abstract：Objective: To evaluate the therapeutic effect of 12 o'clock position urethral mucosa preservation in transurethral enucleation of the prostate for treatment of patients with benign prostate hyperplasia. Methods: 354 patients with benign prostate hyperplasia underwent transurethral enucleation of the prostate. 196 patients were given complete enucleation of the prostate and urethral mucosa, and 158 patients were subjected to preservation of 12 o'clock position urethral mucosa and anterior fibromuscular stroma during the operation. The patients were followed up for 6 months to evaluate the peak flow rate, post-void residual urine volume, and International Prostate Symptom Score before and after operation, respectively. Incontinence rate was evaluated weekly from 24 h to 6 months after surgery. Results: The symptom of lower urinary tract obstruction was improved obviously after surgery in both groups. There were no significant differences in the peak flow rate, post-void residual urine volume, and International Prostate Symptom Score between two groups during the follow-up period. The incontinence rate was lower in patients with preservation of 12 o'clock position urethral mucosa during the operation than in those undergoing complete enucleation of the prostate and urethral mucosa. Conclusions: Preservation of 12 o'clock position urethral mucosa in transurethral enucleation of the prostate can alleviate the low tract obstruction symptom and reduce incontinence rate in patients with benign prostate hyperplasia.
刘尚文, 王亚东, 林峰. 经尿道前列腺剜除术中保留12点处尿道黏膜对术后控尿的影响[J]. 微创泌尿外科杂志, 2018, 7(1): 41-44.
Liu Shangwen, Wang Yadong, Lin Feng. Preservation of 12 o'clock position urethral mucosa in transurethral enucleation of the prostate reduced incontinence rate in patients with benign prostate hyperplasia. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2018, 7(1): 41-44.
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