Transurethral enucleation of the prostate combined with laparoscopic bladder diverticulectomy.
Minim Invasive Ther Allied Technol
; 31(1): 144-148, 2022 Jan.
Article
en En
| MEDLINE
| ID: mdl-32432482
ABSTRACT
OBJECTIVE:
We present a one-session procedure for treating bladder diverticula combined with benign prostatic hyperplasia (BPH). MATERIAL ANDMETHODS:
Between January 2015 and April 2019, transurethral plasmakinetic enucleation of the prostate (TUEP) followed by laparoscopic bladder diverticulectomy (LD) were performed in 12 patients at our institution, in four of them combined with bladder stone(s) and in one patient combined with diverticular tumor. Clinical data were retrospectively collected.RESULTS:
The mean size of the prostate was 137.3 ± 96.3 (65.5-403.3) ml. The mean maximal diameter of the diverticulum was 8.0 ± 2.7 (3.2-12.0) cm. The mean total operation time was 214.2 ± 69.0 (120-300) min, and the mean enucleation time was 23.2 ± 6.4 (12-35) min. The mean intraoperative blood loss was 52.1 ± 14.9 (30-80) ml. The average pre- and post-operative maximum flow rate was 5.1 ± 1.4 (2.4-8.5) ml/s and 12.8 ± 2.3 (9.6-17.1) ml/s. Except for urinary infection in one patient, no other severe peri- or postoperative complications were observed.CONCLUSIONS:
TUEP accompanied by LD in one session provides an effective and minimally invasive surgical treatment for bladder diverticula combined with BPH, with or without bladder stones, and permits reasonable operation time and rapid discharge.Palabras clave
Texto completo:
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Bases de datos:
MEDLINE
Asunto principal:
Hiperplasia Prostática
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Enfermedades de la Vejiga Urinaria
/
Laparoscopía
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Resección Transuretral de la Próstata
Idioma:
En
Revista:
Minim Invasive Ther Allied Technol
Año:
2022
Tipo del documento:
Article
País de afiliación:
China