Efficacy And Clinical Characteristics Of Small Benign Prostatic Hyperplasia Treated With TURP Combined With TUIBN

Objective : To investigate the clinical features of patients with clinically small-volume prostatic hyperplasia(SBPH)and the efficacy of transurethral resection of the prostate(TURP)+ transurethral resection of the bladder(TUIBN)in the treatment of SBPH patients.Methods : The case will be admitted to the urology department of the Third Affiliated Hospital of Nanchang University from September 2016 to September2018.Patients diagnosed with small-volume prostatic hyperplasia were retrospectively summarized and their clinical features were summarized,and the surgical methods for treatment were selected to use TURP+TUIBN.A total of 52 cases were selected,and all follow-up data were available.The age range of the cases was 49-77 years old,and the average age was 60.7 years.All of these cases showed more severe lower urinary tract symptoms(LUTS).The duration of the disease ranged from 12 to 108 months,with an average of 66 months.The prostate weight {(1.05 x 0.52 x anterior diameter(cm)x diameter(cm)x upper and lower diameter(cm))} 22-30 g,average 24.4g.All cases were evaluated preoperatively,and the preoperative relevant indicators were recorded.The regular follow-up time of all cases was 6-12 months,and the average follow-up time was 9 months.Record the relevant indicators of follow-up and collect relevant data.The main changes are related to the changes of patients' preoperative and postoperative 6 months,including the changes of {International Prostate Standardization Score(IPSS)score and Quality of Life Index(QOL).The maximum urinary flow rate(Qmax),bladder residual urine volume(PVR)and other related indicators,as the evaluation of the efficacy of the surgery.Results:All the 52 patients who underwent surgery were returned to the ward after operation.The operation was smooth.There were no serious hemorrhage,no leakage of urine,bladder perforation,TURS(prostate resection syndrome)and other surgical complications.Postoperative urination can be restored.Postoperative prostate specimens were sent for examination;pathological report receipts were all indicatedas benign prostatic hyperplasia(no prostate cancer),and 40 cases of pathological reports suggest chronic prostatitis.No long-term complications were found during regular follow-up of 6-12 months: including urinary incontinence,urethral stricture,bladder neck contracture,retrograde ejaculation,and erectile dysfunction.The preoperative IPSS score was(23.94±3.25)QOL score(4.7±1.2)Qmax was(7.86±1.79)ml/s PVR was(92.10±22.35)ml,and the IPSS score was(7.55±2.17)at the 6th month after surgery.The QOL score was(1.8 ± 0.7)and the Qmax was(19.79± 3.23)and the PVR was(16.45 ± 5.63)ml.The IPSS scores,QOL scores,and PVR indexes in the well-recorded preoperative and postoperative 6 months follow-up were significantly decreased,while Qmax was significantly increased compared with preoperatively,and the difference was statistically significant(p<0.01).It shows that the therapeutic effect is remarkable.Conclusion:The use of TURP+TUIBN surgery to treat small-volume prostatic hyperplasia has a significant effect.The lower urinary tract symptoms after surgery are significantly improved,the urination is smooth,the urinary line is thicker,the operation time is shorter,and the trauma is significantly smaller.The incidence of post-complication is small,and it is currently a clinically effective surgical method for treating small-volume prostatic hyperplasia.