Clinical Observation Of Simultaneous Transurethral Resection Surgery For Bladder Tumor With Benign Prostatic Hyperplasia

At the present time, the cause of bladder tumor and is complexand still ambiguity. However one of the major reasons why thebladder cancer level rise and vicious, is the obstruction of urinarywhich caused by benign hyperplasia of prostate serious disease. Onthe rise of social development and senior citizens populationgrowth, the benign hyperplasia of prostate disease as older malehackney diseases is taking on uptrend.The incidence of bladdercancer combined with benign hyperplasia of prostate alsocorresponding obviously increases. Because the carcinoma ofurinary bladder has the planter shift characteristic, therefore thesurgery still had the argument about the bladder cancer combinedwith benign hyperplasia of prostate.This article reviews on 83 examples of the bladder cancercombined with benign hyperplasia of prostate and the analysis ofsurgery method to carry on in China-Japan union hospital of JilinUniversity from March, 2002 to December, 2005. The discussionof the feasibility and the curative effect on bladder cancercombined with benign hyperplasia of prostate the correspondingperiod passes by TURBt plus TVB.The group of 83 patients, average age (70.3±3.4) years old,after each relevant examine diagnose for bladder cancer combinedwith benign hyperplasia of prostate. Same time good urinarybladder partial excision methods add on the pubis the prostategland to excise the technique 30 examples (A group), same timepasses by the urethra urinary bladder tumor electricity to cut thetechnique to add the prostate gland to vaporize the electricity to cutthe technique 33 examples (B group), purely passes by the urethraurinary bladder tumor electricity to cut the technique 20 examples(C group). All patients surgery is smooth, after and the techniquemakes a follow-up visit for 12 ~ 40 months, the average 20 months.A group is close with B group of clinical curative effects, thetechnique future trouble urinates the difficult symptom all to havethe distinct improvement, but B group of patients average surgeriestime, is hospitalized the time, the average hemorrhage quantity,average blood transfusion gross, the blood transfusion number oftimes, the urinary bladder flush time, leaves alone the ureter timeand the main illness complication overall formation rate obviouslyis lower than A group;C group only purely passes by the urethraurinary bladder tumor electricity to cut the technique, 5 examplesmake a follow-up visit the time internal cause benign prostategland proliferation sickness to pass by the urethra prostate gland tovaporize the electricity to cut the technique, B group compares withC group increases combination disease by no means;3 groupsmake a follow-up visit in the time urinary bladder tumor recrudescerate to compare, B group is lower than its their group.Indicated through the research that, same time passes by theurethra urinary bladder tumor to add the prostate gland electricityto cut the technique is one kind of security, the effective method oftreatment, its merit lies in: (1) is located the urinary bladder throatopening the urinary bladder tumor, in particular cervix vesicalupper wall tumor, because the proliferation prostate gland volumebig or middle leafage the proliferation sends the urinary bladderpate obviously to raise, when penetrates in the urinary bladder,usually not easy clearly to peep at the tumor complete picture, theelectricity cuts the tumor to be difficult, also not easy to excisecancer to organize thoroughly. After the advance prostate glandelectricity cuts the urinary bladder tumor electricity to cut thetechnique again, like this may cause the field of vision clearly,operation smooth, is not easy to omit the urinary bladder smalltumor. (2) the prostate gland proliferation middle leafageproliferation sends the urinary bladder pate to raise the obviouspatient pure good urinary bladder tumor electricity in particular tocut the technique, after the technique reexamines when thecystoscope enters the mirror to be difficult, even damages theprostate gland department urethra, affects the urinary bladdercomplete picture the observation, omits the pathological change(the same time good prostate gland to vaporize electricity to cuttechnique then is advantageous after technique reexaminescystoscope). After (3) is advantageous for the technique the urinarybladder cavity to pour into the chemotherapy medicine, because theprostate gland proliferation sickness patient common remainingurine and suppresses the urine difficultly, if does not excise theprostate gland proliferation organization, the patient is unable tosuppress the urine to send the urinary bladder to pour into thechemotherapy medicine to be difficult. (4) the pure good urinarybladder tumor electricity cuts, after the wiping out ureter, thepatient may because urinate impeded, the urinary bladder fullsexcessively but causes the electricity to cut the injured area tocontinue sends the hemorrhage. (5) the same time surgery, relievedthe prostate gland section urethra oppression, after the techniquehas poured into the medicine to be possible to arrive the urethra,prevented partial recurred (urine to evacuate, remaining urinereduced, carcinogen promptly removed, might reduce opportunitywhich urinary bladder tumor recurred). (6) the same time passes bythe urethra urinary bladder tumor electricity to cut the technique toadd the prostate gland to vaporize the electricity to cut thetechnique to be possible to reduce the patient expense, reduces ishospitalized the time, the surgery safely is reliable, and causes thepatient to exempt painstakingly as well as passes through manytimes two surgeries the urethra operation damage urethra, reducesthe urethral stricture formation rate, at the same time may improvethe quality of life.In brief, same time executes after the urethra urinary bladder tumorelectricity cuts the technique to add the prostate gland to vaporizethe electricity to cut the technique, safe, curative effect reliable,reduces is hospitalized the time, reduces the patient to be painfuland the economical expense, does not increase combination disease,observes by no means to has the prostate gland nest and the latterurethra planter shift.