| Objective: To evaluate the application of transurethral electrovaporization in treatment of urethral obstruction of the patients with advanced prostatic cancer. Methods: From October 1998 to April 2002, 26 cases of prostatic cancer were treated by transurethral electrovaporization plus bilateral orchidectomy plus postoperative endocrine therapy with oral flutamide. Results: The procedure has been successful and the weight of prostate tissue resected was 10~45g, average 23.23± 6. 90g. All the patients got satisfactory micturation :the maximum flow rat has been elevated from (6.38±2.04)ml/s to(14. 15±1. 95)ml/s, the average residual urine decreasedfrom 125ml to 20ml. International prostate symptom score has been droped from 29. 54±3.19 to 8.54±1.58, quality of life score has been droped from 5. 35±0. 63 to 1. 15±0. 37(P <0. 05). Conclusions: To treat urethral obstruction of the patients with advanced prostatic cancer by transurethral electrovaporization plus androgen ablation therapy can get stable and effective medical results.
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