Selection Of Therapeutics On Bladder Neck Contracture Following Prostatectomy By Suprapubic Approach

Objective: To study two method and effect of bladder neckcontracture following prostatectomy by suprapubic approach.Methods. The data of clinical test of 44 patiens who underwentbladder neck contracture following prostatectomy by suprapubicapproach were reviewed retrospectively. 44 patiens were divided into twogroups, 26 patiens were open operation group and 18 patiens weretransurethral resection group. Comparison of preoperative age, the course,maximum flow rate, international prostate symptom score (IPSS), qualityof life (QOL), post-void residual(PVR),the proportion of complications,operation time, blood volume, urethral catheter detain time, hospital dayand complication incidence rate in the two groups; The postoperativefollow-up preiods were from 3 to 15 months, maximum flow rate,international prostate symptom score (IPSS), quality of life (QOL),post-void residual(PVR) and the rate of validity were compared betweentwo groups. Maximum flow rate, international prostate symptom score(IPSS), quality of life (QOL) and post-void residual(PVR) werecompared between preoperative and postoperative in each group.Results: Operations were done successfully in two groups. Therewere no dead patients. No patient experienced TUR syndrome andurinary incontinence. Compared with two groups, there was no statistically significant difference(P>0.05) between two groups'preoperative age, the course, maximum flow rate, international prostatesymptom score (IPSS), quality of life (QOL), post-void residual(PVR)and the proportion of complications. There were significant differencesbetween two groups' operation time, blood volume, urethral catheterdetain time, hospital day and complication incidence rate.(p<0.05). Threemonths after operation, 19 patiens of open operation group and 14 patiensof transurethral resection group were followed-up. Maximum flow rate,international prostate symptom score(IPSS), quality of life (QOL), PVRand the rate of validity were significant difference(p<0.05) between twogroups. Maximum flow rate, international prostate symptom score(IPSS),quality of life (QOL)and post-void residual(PVR)were apparent andsignificantly different.(p<0.01), and the significant difference was foundbetween preoperative and postoperative in each group.Conclusion: Transurethral resection of bladder neck (TURN) was areasonable treatment method which could relieve obstruction thoroughly,reduce wound, bleeding,complication and recovery fast.