Abstract

Objective To study the effects of percutaneous holmium laser lithotripsy combined with transurethral resection of prostate (TURP) versus lithotomy for elderly patients. Methods 156 patients with BPH and bladder stones admitted to our hospital from February, 2017 to October, 2018 were selected as observation objects. According to the method of random number table, they were divided into an observation group and a control group, 78 for each group. The observation group was treated with holmium laser lithotripsy under percutaneous nephroscopy and TURP, and the control group with TURP and lithotomy. The surgical parameters and sexual function related indicators were compared between the two groups. Results The operation time, intraoperative bleeding volume, and rinsing time were (0.43±0.18) h, (128.39±21.37) ml, and (44.91±5.83) h in the observation group, which were significantly shorter than those in the control group (all P<0.05); and the resection ratio was (75.66±2.37)% in the observation group, which was significantly higher than that in the control group (P<0.05). The international prostate score (IPSS) and residual urine volume (RUV) were significantly lower after than before the operation in the two groups, but the RUV [(13.38±4.19) ml] in the observation group after operation was significantly lower than that in the control group, while the IPSS [(16.27±3.12)] was significantly higher (P<0.05). The Qmax levels in the two groups were significantly higher after than before the operation group, and that in the observation group was significantly higher than that in the control group [(17.84±2.51) ml/s vs. (14.25±3.12) ml/s]. Conclusion Percutaneous nephrolithotomy combined with holmium laser lithotripsy and transurethral resection of the prostate has a better overall effect on elderly patients, and is conducive to the patients’ rehabilitation and prognosis. Key words: Percutaneous holmium laser lithotripsy; Transurethral resection of the prostate; Lithotomy; Overall effect

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