Analysis of 31 Cases of Vesicular Chemosis in Prostatic Urethral Trauma After BPH Surgery
Objective:To analyze the diagnosis and treatment of vesicular chemosis in prostatic urethral trauma after transurethral resection of 31 cases of benign prostatic hyperplasia for clinical reference.Methods:31 patients admitted to the hospital from January 2012 to December 2021 with vesicular lesions combined with hemorrhage in the prostatic urethral trauma after surgery for benign prostatic hyperplasia were selected for the study.Cystoscopy suggested that the patient had a large amount of vesicular tissue hyperplasia and some prostate gland remnants in the prostatic urethral wound.Re-transurethral residual prostate adenomectomy and vesicle resection were given to all patients.The treatment effect,perioperative indexes,urination,urinary control function,and safety evaluation of patients were observed.Results:After surgery,the patients'intraprostatic gland volume,IPSS score,residual urine volume,and maximal urinary flow rate improved compared with the preoperative period,and the difference was statistically significant(t=6.86,5.66,3.37,3.09,P＜0.05).The postoperative specimen was again pathologically examined,and the diagnosis was"prostate tissue combined with vesicular metaplasia".The patients were followed up for 6 to 12 months after the operation,and the hematuria disappeared and the urination was smooth.Repeat cystoscopy showed a smooth prostatic urethral wound with no elevation of the bladder neck and no vesicles were found.Conclusion:If distant bleeding or hematuria occurs after transurethral resection in patients with benign prostatic hyperplasia,the last surgical wound needs to be examined cystoscopically for residual prostatic tissue and vesicular hyperplasia.Once it occurs,another surgery is needed to remove the hyperplastic vesicles and residual prostate glands to get a satisfactory result.
Benign prostatic hyperplasiaVesicular metaplasiaTransurethral resection of the prostateHematuria
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