He Tao,Wang Yan,Zhao Wei,Zhou Yu.Transurethral resection surgery in treatment of superficial bladder cancer with benign prostate hyperplasia[J].J Amry Med Univ (J Third Mil Med Univ),2016,38(15):1800-1803.
He Tao,Wang Yan,Zhao Wei,Zhou Yu.Transurethral resection surgery in treatment of superficial bladder cancer with benign prostate hyperplasia[J].J Amry Med Univ (J Third Mil Med Univ),2016,38(15):1800-1803.DOI:
Objective To investigate the clinical efficacy of transurethral resection surgery in treatment of superficial bladder cancer combined with benign prostate hyperplasia (BPH). Methods A retrospective analysis of 109 patients with superficial bladder cancer combined with BPH treated in our hospital was conducted. The pati
ents were divided into 2 groups: combined treatment group (n=57) that patient undertook the treatment of transurethral resection of bladder (TURBt) and transurethral resection of prostate (TURP)
and control group (n=52) that patients only had TURBt. The perioperative indicators were compared between the 2 groups. Results The operative time
blood loss
postoperative indwelling catheter time and hospital stay were longer in combined group than control group
and the difference was statistically significant (P0.05). After operation
patients in combined group had significant lower marks compared with control group by evaluation of the International Prostate Symptom Score (IPSS)
quality of life (QOL) score and residual urine volume (PVR) value (P0.05). Q
max
value of the combined group was significantly higher in patients (P0.05). After 24 months of operation
the recurrence rate was not significant difference between two groups (P0.05). In combined group
the incidence of urethral stricture was 3.51%
which was much lower than that in control group (17.31%). The obvious difference was statistically significant (P0.05). Conclusion Compared to TURBt treatment alone
combined treatment had a longer operative- and postoperative recovery-time
and more bleeding in treatment of superficial bladder cancer combined with BPH. Nevertheless
combined treatment is beneficial for patients with relieved postoperative difficulty in voiding
improved quality of life and reduced incidence of urethral stricture.