Effect of ureteral catheterization combined with holmium laser lithotripsy in the treatment of middle and lower ureteral calculi with prostatic hyperplasia and its influence on sexual function
Objective To study the effect of ureteral catheterization combined with holmium laser lithotripsy in the treatment of middle and lower ureteral calculi with prostatic hyperplasia and its influence on sexual function.Methods 300 patients with middle and lower ureteral calculi with prostatic hyperplasia were divided into an experimental group(152 cases)and a control group(148 cases)according to different surgical methods.The control group was given holmium laser lithotripsy,and the experimental group was given ureteral catheterization combined with holmium laser lithotripsy.The perioperative conditions,international index of erectile function-5(IIEF-5)score,Chinese index of sexual function for premature ejaculation(CIPE)score,renal function,clinical improvement,and adverse reactions were compared between the two groups.Results The experimental group had less blood loss of(82.34±28.56)ml than(103.47±33.58)ml in the control group;the experimental group had operation time of(60.66±32.27)min,hematuria time of(2.45±0.14)d and hospital stay of(8.51±0.77)d,which were shorter than(72.55±33.26)min,(3.56±1.10)d and(13.60±1.35)d in the control group(P<0.05).After surgery,IIEF-5 and CIPE scores in both groups were higher than those before surgery;the experimental group had IIEF-5 score of(9.06±2.41)points and CIPE score of(28.04±3.31)points,which were higher than(8.04±2.25)and(25.16±3.24)points in the control group(P<0.05).After surgery,the serum creatinine(SCR),urinary albumin(ALB)and blood urea nitrogen(BUN)levels in both groups were lower than those before surgery;the experimental group had serum SCR of(68.12±7.14)μmol/L,urinary ALB of(88.12±23.61)mg/L and BUN of(4.19±0.78)mmol/L,which were lower than(75.25±7.32)μmol/L,(106.28±24.62)mg/L and(4.89±0.83)mmol/L in the control group(P<0.05).The improvement times of lumbago,bladder irritation and urinary obstruction in the experimental group were(9.71±1.28),(7.51±1.01)and(8.72±1.31)d,which were significantly shorter than(11.31±1.30),(8.89±1.21)and(10.20±1.50)d in the control group(P<0.05).During treatment,there was no difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Ureteral catheterization combined with holmium laser lithotripsy can effectively improve the sexual function of patients with middle and lower ureteral calculi with prostatic hyperplasia.
Ureteral catheterizationHolmium laser lithotripsyMiddle and lower ureteral calculiProstatic hyperplasiaSexual function
NETL
NSTL
万方数据
维普
