A Study Of The Correlation Between The Degree Of Intravesical Prostate Protrusion (IPP) And The Postoperative Complications Of Transurethral Resection Of Prostate (TURP)

Objective:To explore the correlation between the degree of intravesical prostate protrusion and the postoperative complications of transurethral resection of prostate in patients with benign prostatic hyperplasia.Methods:This study collected the clinical data of 144 patients with TURP in the Urology Department of Jiujiang First People’s Hospital from June 2020 to December 2021 for perioperative and postoperative follow-up,and divided the patients into 3 groups according to the IPP value measured by abdominal ultrasound,Group A: IPP < 10mm;Group B: 10mm≤ IPP<20mm;Group C: IPP≥ 20 mm and conducted a retrospective analysis,comparing and analyzing the preoperative data of the three groups of patients including IPP value,age,Post-void residual volume(PVR),Prostatic volume(PV),International prostate symptom score(IPSS),Quality of life score(Qo L),Maximum Urine Flow Rate(Qmax)And the relationship between IPP values and their relationships was analyzed,and the correlation between IPP values and postoperative complications of TURP was analyzed statistically by statistical methods to analyze the correlation between IPP values and postoperative complications of TURP in the postoperative recovery process of IPSS score,Qo L score,Qmax,TURP postoperative recovery process(urethral stenosis,urinary incontinence,retrograde ejaculation,bladder spasm,etc.),and the correlation between IPP values and postoperative complications of TURP was analyzed by statistical methods.Results:All 144 patients with BPH successfully completed surgery,and there was no perforation of the bladder,urethra and rectum during the operation.The mean age of group A was(71.06±9.0 years,mean prostate volume(50.55±10.85)ml,mean residual urine output(35.14±16.88)ml,mean urinary flow rate(10.576±1.14)ml/s;group B was(72.92±7.86 years),mean prostate volume(62.27±17.35)ml,mean residual urine output(92.42±21.14)ml,mean urinary flow rate(8.994 ± 1.58)ml/s;the mean age of the C group was(72.91±7.45 years),the mean prostate volume(85.94±37.66)ml,the mean residual urine output(164.55±64.48)ml,the mean urinary flow rate(7.315±2.52)ml/s,there was no significant difference in the age of patients between the groups(P>0.05),and by comparing the A,B,and C groups as a whole,the age was not statistically significant(P>0.05),and the IPSS score between the three groups was not significant.Qo L score,Qmax,PVR,PV and IPP were statistically significant(P <0.05);IPP is positively correlated with PVR and PV,and negatively correlated with Qmax,and when IPP ≥ 20 mm,the more obvious the correlation between IPP and PVR,PV and Qmax is.The IPSS score and Qo L score of group A,group B and group C were significantly reduced compared with preoperative,Qmax was increased compared with preoperative,and TURP surgery significantly improved the urination of BPH patients.Bladder spasm,urinary incontinence,and urethral stenosis are more likely to occur with the greater the degree of IPP;There was no obvious statistical significance between the groups of retrograde ejaculation(P>0.05).Conclusion:1.There was a significant difference in the incidence of bladder spasm,urinary incontinence and urethral stenosis in the three groups of BPH patients(P<0.05),while there was no obvious statistical significance between the groups of retrograde ejaculation(P>0.05).2.The patient’s IPP value is positively correlated with PV and PVR,negatively correlated with Qmax,and the IPP ≥ 20 mm,the more obvious the correlation between IPP and PVR,PV and Qmax is;3.IPP can be used as a risk factor for bladder spasm,urinary incontinence and urethral stenosis after prostate surgery.