Title: Clinical efficacy of transurethral plasmakinetic resection combined with pneumatic lithotripsy in the treatment of prostatic hyperplasia and bladder stones in patients with advanced age and high risk
Abstract: Objective To investigate the efficacy of transurethral plasmakinetic resection combined with pneumatic lithotripsy in treating benign prostatic hyperplasia(BPH)and bladder stones in patients with advanced age and high risk.Methods A number of 76 patients with BPH combined with bladder calculi treated in our hospital during Jan.2011 to Dec.2012 were randomly divided into two groups,with38 patients in either group.Group A was treated by transurethral plasmakinetic resection combined with pneumatic lithotripsy,group B by transurethral plasmakinetic resection of the prostate and suprapubic small incision to remove stones.The operation time,intraoperative bleeding volume,bladder irrigation time,intubation time,postoperative hospitalization,complications,maximum flow rate(MFR)3 months before and after operation,residual urine volume,International Prostate Symptom Score(IPSS),Quality of Life(QOL)score,and obstruction score of the two groups were compared.Results The intraoperative bleeding volume,bladder irrigation time,intubation time,postoperative hospitalization time of group A were better than those of group B(P0.05).The MFR,residual urine volume,IPSS score,QOL score,obstruction score of group A were improved significantly more than those of group B(P0.05).Conclusions With sufficient preoperative,intraoperative,and postoperative management,transurethral plasmakinetic resection combined with pneumatic lithotripsy is optimal for high-age and high-risk patients with BPH and bladder stones.
Publication Year: 2013
Publication Date: 2013-01-01
Language: en
Type: article
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