Abstract
Objective To explore the significance of prostatic calculi in prostate surgery. Methods During the beginning of 2010 to the end of 2017, a retrospective analysis was made of 821 cases of benign prostatic hyperplasia (BPH) with prostatic calculi admitted to our hospital. During 2010 to 2015, transurethral resection of the prostate (TURP) was performed. And then, from 2015 to 2017, it was replaced as transurethral laser vaporization of the prostate (TULVP). There were 5 converted to open. We should remove the prostate tissue til the surgical capsule by electrocision or vaporization. If annular fibrous tissue or prostatic calculi are encountered during the operation, the calculi will be exfoliated, and then stop operation. Results All the operations were successfully completed, with an average times of 47 minutes (22-117 minutes), bleeding of 50ml (15-350 ml), indwelling catheter for 5.7 days (3-10 days), and continuous bladder irrigation for 1.3 days (1-5 days). During the follow-up period of 0.4-5 years, the urination symptoms and quality of life of the post-operation patients were significantly improved. Conclusions Prostate calculi can be used as a marker of the depth of operation for BPH.
Highlights
From the beginning of 2010 to the end of 2017, there were 1558 benign prostatic hyperplasia (BPH) patients who treated in our hospital
TULVP or TURP were performed by electrotomy mirror (Wolf) and 1470 nm laser (Wuhan Qizhi)
All cases were cured after regular urethral dilatation. 4) 15 cases of transurethral resection syndrome (TURS) appeared in perioperative period. After timely treatment, such as diuresis and electrolyte supplementation, they were controlled; 5) because of the huge prostatic gland, there were 3 consecutive patients undergoing secondary prostate surgery; 6) 17 cases of pseudo incontinence occurred after operation, which were cured within six months through anal lifting training and penile clip training; 7) 1 case of genuine incontinence, and 2 cases of genuine incontinence
Summary
During the beginning of 2010 to the end of 2017, a retrospective analysis was made of 821 cases of benign prostatic hyperplasia (BPH) with prostatic calculi admitted to our hospital. During 2010 to 2015, transurethral resection of the prostate (TURP) was performed. From 2015 to 2017, it was replaced as transurethral laser vaporization of the prostate (TULVP). We should remove the prostate tissue til the surgical capsule by electrocision or vaporization. If annular fibrous tissue or prostatic calculi are encountered during the operation, the calculi will be exfoliated, and stop operation
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