Curative effects of transvesical robot-assisted radical prostatectomy treat for recalcitrant bladder neck contracture after holmium laser enucleation of prostate
This study used transvesical robot-assisted radical prostatectomy to treat 8 patients with recalcitrant bladder neck contracture after holmium laser enucleation of the prostate.The patients had an average age of(73.3±3.7)years,prostate volume of(34.2±11.4)ml,and Qmax of(4.1±0.6)ml/s,post-void residual urine volume(PVR)of(186.7±46.7)ml,international prostate symptom score(IPSS)of(31.2±2.2),and quality of life(QOL)score of(5.3±0.4).The surgical procedure involved incising the posterior bladder wall,performing a circular resection of the diseased bladder neck,dissecting the vas deferens and seminal vesicles,and transecting the urethra.The bladder neck was then reconstructed using double-needle barbed sutures.All surgeries were successfully completed,with an average operating time of(127.5±18.3)min,blood loss of(55.0±15.0)ml,and a postoperative hospital stay of(7.5±1.0)days.Three months after surgery,the Qmax increased to(18.0±1.6)ml/s,the PVR decreased to(24.2±15.8)ml,the IPSS improved to(10.7±1.7),and the QOL score improved to(1.0±0.3).All patients had continence within 6 months.
维普
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