Treatment of Combination of transurethral resection and enucleation of the prostate for Intravesical and giant benign prostatic hyperplasia

Abstract

Objectives To investagate the efficacy and safety of Combination of Transurethral enucleation of the prostate (TUEP) and Transurethral resection of prostate (TURP) in the treatment of patients with Intravesical and giant benign prostatic hyperplasia (BPH).Methods Data of 58 cases of BPH with Intravesical and big volume,to whom Combination of TUEP and TURP were performed,were retrospectively studied.Parameters including intraoperative blood loss,operating time,complications of intraoperative hyponatremia,postoperative were invesgated to evaluated the clinical safety.Resected tissue weighed,catheterization time,the consumption of TURP ring and maximum urinary flow rates(Qmax),residual urine volume (RUV),International Prostate Symptom Score (IPSS),quality of life score (QOL) were compared to evaluated the clinical efficacy.Results The age of patients was 80.5 ±9.2(range from 72 to 94)years old.The prostatic gland volume was 125.4 ±39.7 (range from 80mL to 160mL).Intravesical prostatic protrusion 3.4 ± 1.6 (range from 1.9cm to 4.7 c m),All the cases were treated by treatment of Combination of TURP,and then TUEP.The mean operative time was 69.8 ± 14.4 (range from 40minutes to 95minutes) and the estimated blood loss was 115.6 ± 35.2 (range from 20mL to 180mL).No patient required conversion to open surgery.Blood transfusion was not necessary in this group of patients.Bladder irrigation was (2.8 ±1.2) d,and the average Foley catheter duration was 5.2 ± 1.5d (range from 2 days to 7 days).Qmax,RUV,IPSS and QOL were significantly improved 3 months later (P ＜ 0.01),No urinary incontinence,bled postoperation,and urethremphraxis was reported.Conclusions Treatment of Combination of transurethral resection and enucleation of the prostate for Intravesical and giant benign prostatic hyperplasia is feasible and reproducible for its less blood loss,less operating time,less incidence of intraoperative hyponatremia,less consumption of TURP ring,shorter hospital stay and early return to normal activity,more resected tissue weighed,rapid recovery and assured clinical effect. Key words: Prostatic Hyperplasia; Electrosurgery