Objective To compare the relative merits and the mainpostoperative complications of suprapubic suprapublic transvesical prostatectomy(SPPC) and transurethral resection of the prostate(TURP). Methods 928 cases of benign prostatic hyperplasia(BPH) were treated with either SPPC or TURP, comparing the two groups patient`s time of operation, blood loss volume, the incidence of surgical complications. Results The operation of two groups are both successfully, no operative deaths.One case occur pulmonary infarction, while two cases occur cerebral infarction, all of them werecured. SPPC have the characteristics of simplicity of operator,easy to master, and does not have blood transfusion no matter the size of glands, the time of operation also under controll, while the recurrence rate of gland residual hyperplasia and urethral stricture are lower than TURP; but the TURP have the characteristics of no incision, short operative time, light damage, rapid recovery, the recurrence rate of bladder spasm significantly reduced, pain reducegreatly. SPPC have some shortcomings, including higher recurrence rate ofpostoperative incision complications, bladder spasm,urinary tract infection, the longer time of hospitalization and antibiotic use; while the TURP also haveshortcomings includes postoperative electric cutting syndrome, reoperation ofprostate hyperplasia of residual, higher rate of secondary bleeding, urethral stricture, temporary incontinence, and so on. Conclusion Both SPPC and TURP are effetive way to remedy benign prostatic hyperplasia, but also have theirrelative merits. TURP is better than SPPC, still the gold standard to remedybenign prostatic hyperplasia.
NETL
NSTL
万方数据
维普
