Suprapubic cystostomy combined with transurethral vapor resection of the prostate in treatment of large benign prostatic hyperplasia

Abstract

Objective To explore the efficacy and feasibility of suprapubic cystostomy combined with transurethral vapor resection of the prostate(TUVRP)for large benign prostatic hyperplasia(BPH).Method Twenty-eight cases with large BPH were treated with suprapubic cystostomy combined with TUVRP and the clinical data was analyzed retrospectively.Results After operation,all patients had normal urination,followed up for 6 months,the international prostatic symptom score was decreased from(24.2 ±4.8)scores to(9.8 ±2.6)scores,the maximal uroflow rate was increased from(6.2 ±2.1)ml/s to(14.8 ±2.9)ml/s,the residual urine was decreased from(108.0 ± 37.1)ml to(20.2 ± 7.6)ml,there was significant difference(P ＜ 0.05).Complications were found in 3 cases,2 cases were transurethral resection of prostate syndrome,I case was secondary bleeding.Conclusion Suprapubic cystostomy combined with TUVRP is a safe,less complication,effective and feasible method for large BPH with proficient skill. Key words: Cystostomy; Prostatic hyperplasia; Transurethral vapor resection of the prostate