Clinical Study of Transurethral Plasmakinetic Resection of Prostate Combined with Tension Free Hernioplasty for the Patients with Benign Prostatic Hyperplasia and Inguinal Hernia
ZHU Bin， PAN Weibing， ZHANG Suibing， CAO Shijin
Department of Urology， Pingshan District People's Hospital of Shenzhen, Shenzhen 518000, Guangdong, China
Abstract: ObjectiveTo discuss the effect of transurethral plasmakinetic resection of prostate（TUPKRP） combined with tension free hernioplasty （TFH） in the treatment of the patients with benign prostatic hyperplasia （BPH）and inguinal hernia（IH）.MethodsThe clinical data of 36 cases with BPH and IH hospitalized in our hospital from January 2010 to January 2016 were analyzed retrospectively. All cases were treated by the surgery of TUPKRP and TFH simultaneously.Results①All the 36 cases with BPH combined with IH were successfully completed the surgery. The average weight of excisional prostate was (50.2±7.2)g, the average volume of intraoperative blood loss was (191.6±62.8）ml, and the average duration of bladder irrigation, operation, indwelling catheter and postoperative hospital stays was (28.1±6.9) min, (89.5±20.4)min,(4.8±1.3) d and (6.5±1.9) d respectively. ②There was statistical difference in the international prostate symptom score (IPSS), residual urine volume (RUV), quality of life score (QOL), maximum urinary flow rate (Qmax), maximum detrusor pressure and bladder compliance among preoperation, 3 months after operation and 6 months after operation (P＜0.05). Compare to both 3 months and 6 months after surgery, the IPSS, RUV, QOL and maximum detrusor pressure of preoperation were significantly higher, and Qmax and bladder compliance were significantly lower (P<0.05). The IPSS, RUV, QOL and maximum detrusor pressure were higher, and the Qmax and bladder compliance were lower 3 months after surgery than those 6 months after surgery (P<0.05). ③The postoperative complication as urethral stricture was found in 1 case (2.7%) and urinary retention in 2 cases (5.6%). No incontinence of urine, incision hernia hematoma and pulmonary infection occurred. ④All cases were followed up for 1 year. The recurrence of IH was found in 1 case 9 months after the surgery, and the recurrence rate of IH was 2.7%.ConclusionThe treatment of TUPKRP combined with TFH can achieve ideal effect for the patients with BPH and IH with low incidence of complication and recurrence rate of IH.
朱斌，潘卫兵，张遂兵，曹石金. TUPKRP联合无张力疝修补术同期治疗BPH合并腹股沟疝[J]. 中国现代手术学杂志, 2017, 21(5): 391-394.
ZHU Bin， PAN Weibing， ZHANG Suibing， CAO Shijin. Clinical Study of Transurethral Plasmakinetic Resection of Prostate Combined with Tension Free Hernioplasty for the Patients with Benign Prostatic Hyperplasia and Inguinal Hernia. Chinese Journal of Modern Operative Surgery, 2017, 21(5): 391-394.
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2017, Vol. 21 
