Preliminary study of hydro-knife assisted transurethral enucleation of prostate
Objective To investigate the safety and feasibility of hydro-knife assisted transure-thral enucleation of prostate in benign prostatic hyperplasia.Methods A total of 28 elderly male pa-tients with benign prostatic hyperplasia(BPH)with surgical indications who underwent hydro-knife as-sisted tranthral prostate enucleation in our hospital from October 2010 to January 2021 were selected for follow-up observation at 1 month,3 and 6 months after surgery,respectively.The surgical efficacy and complications of the patients were analyzed.Results All the 28 patients were operated under epidural anesthesia.All the operations were carried out smoothly,and no complications caused by water knife equipment occurred during perioperative period.The average operation time was 58.2(31-112)min.The mean duration of catheter indwelling was 4.2(3-7)days.The average length of postoperative hos-pitalization was 4.8(4-8)days.The mean mass of prostatectomy was 56.3(15.2-92.7)g.There were no serious complications,blood transfusion and electrolyte disturbance in perioperative period.No wound bleeding,urethral stricture or secondary operation occurred in 1 or 3 months after follow-up.After 6 months of follow-up,International Prostatic Symptom Score(IPSS)score decreased,maximum urine flow rate(Qmax)increased,the mean detrusor pressure decreased,and PV decreased(P＜0.001).No urinary incontinence occurred in all cases.There were no serious complications,blood transfusion and electrolyte disturbance in perioperative period.No wound bleeding,urethral stricture or secondary operation occurred in 1 or 3 months after follow-up.After 6 months of follow-up,IPSS score decreased,Qmax increased,the mean detrusor pressure decreased,and PV decreased(P＜0.05).No urinary incontinence occurred in all cases.Conclusions The preliminary study of hydro-knife assisted transurethral enucleation of the prostate shows that its clinical application is feasible and safe.Using the layer stripping effect of high-pressure water can achieve complete removal of prostate glands and significantly improve lower urinary tract symptoms.
Prostatic HyperplasiaTransurethral Resection of ProstateHydro-Knife
万方数据
维普
