【摘 要】
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Objective: To investigate the application and effect of rod bipolar electrode in Transurethral Anatomical enucleation of the Prostate (TUAEP).Methods: From June 2013 to December 2014, a total of 70 pa
【机 构】
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Department of Urology,Zhujiang Hospital,Southern Medical University
【出 处】
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第十三届亚洲泌尿外科学会年会(UAA2015)、第二十二届全国泌尿外科学术会议(CUA2015)、第十六届全军及武警泌尿
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Objective: To investigate the application and effect of rod bipolar electrode in Transurethral Anatomical enucleation of the Prostate (TUAEP).Methods: From June 2013 to December 2014, a total of 70 patients received TUAEP in our department.The patients preoperative and perioperative general condition was recorded, as well as the postoperative follow-up.Result: All the 70 operations were completed smoothly.The mean age of the patient is 65.7 ± 3.7 years old,the volume of the prostate is 72.1 ± 22.1 ml, the preoperative hemoglobin and serum sodium concentration were 120.4 ± 11.4g/L and 141.1 ± 3.7mmol/L and the postoperative hemoglobin and serum sodium concentration were 113.3 ± 15.3g/L and 135.4 ± 1.5mmol/L, respectively.Among these cases, one patient showed capsule perforation during operation, no case needed blood transfusion and there was no other intraoperative complications in all cases, such as death, transurethral resection syndrome (TURS), bladder injury, rectal injury, obturator nerve reflex and so on.The mean operation time was 43.7 ± 6.4min, the enucleation took 18.4 ± 3.7min and the crushing of tissue took 25.3 ± 4.7min, Bladder irrigation time is 17.9 ± 3.7h, the time of indwelling urinary catheter is 22.4 ± 6.3h, the post-operation hospitalization duration is 4.3 ± 0.6d.The IPSS, QOL, Qmax, PVR of pre-operation and 1, 3 months after operation were (22.1 ± 5.5 vs 5.7 ± 1.81 vs 5.1 ± 1.32), (4.7 ± 0.80 vs 1.6 ± 0.38 vs 1.3 ± 0.5), (8.4 ± 1.29 vs19.3 ± 2.26 vs 20.4 ± 1.73)ml/s and (39.3 ± 31.4 vs 5.7 ± 10.3 vs 2.7 ± 5.3) ml, respectively.The result shows a significant difference (P＜/span＞ ＜ 0.05) in chronological order.No patients developed post-operative complications such as urinary retention after catheter removal, long-term urinary incontinence, urethrostenosis and secondary hemorrhage during 3 months follow-up.
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