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Late Complications of Holmium Laser Enucleation Versus Plasmakinrtic Resection of the Prostate

Author: GuoLiQiang
Tutor: ZhaoShengTian
School: Shandong University
Course: Surgery
Keywords: Benign prostatic hyperplasia Holmium laser enucleation of the prostate Plasma through the urethra bipolar transurethral resection of prostate surgery Complication
CLC: R699
Type: Master's thesis
Year: 2011
Downloads: 12
Quote: 0
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Abstract


Objective: To compare holmium laser enucleation of the prostate (holmium laser enucleation of prostate transurethral resection of the prostate, HoLEP) and transurethral bipolar plasma (transuretheral plasmakinetic resection of prostate, PKRP) two kinds of surgical approach long-term postoperative complications occurrence. Methods: from January 2009 to June 2010 in the hospital urology hospitalized in line with the BPH 120 patients included in the standard line prostatectomy surgery, which HolEP60 cases, PKRP60 cases, close follow-up of 6 months, the International Prostate Symptom compare before and after surgery rated (international prostatic symptoms score, IPSS), quality of life index rating (quality of life, QOL), International Index of Erectile Function questionnaire -5 (international index of erectile function, IIEF-5) indicators of change and the observed postoperative secondary bleeding, infection, urethral stenosis, bladder neck contracture, altered libido, ED, retrograde ejaculation, urinary incontinence and other complications occurred. Results: get a complete follow-up patient HolEP group the 50 cases PKRP group 48 cases. (1) postoperative January, March and June compared with that before the IPSS and QOL score drops were statistically significant; after January, March, June between the two groups was not statistically significant. (2) The postoperative IIEF-5 score compared with the preoperative March and June decline was statistically significant (P lt; 0.05) between the two groups after 3 months IIEF-5 score statistically significant difference (P = 0.02), PKRP group below the HoLEP group. (3) HoLEP group: after 1 case of secondary hemorrhage, infection in 2 cases, 2 cases of urethral stenosis, 1 case of bladder neck contracture. Group PKRP: 2 patients secondary hemorrhage, infection in 3 cases, urine outside the mouth tract obstruction, bladder neck contracture. Between the two groups showed no significant difference among the indicators (4) the HoLEP group of 3 months after the occurrence of ED patients (6%); after PKRP group took place in March Ed 8 cases (16.7%) after 6 May did not change. The two groups no significant difference. (5) The the the HoLEP group of postoperative retrograde ejaculation incidence of 16%, 33.3% of the after PKRP group retrograde ejaculation incidence the compared difference was statistically significant, PKRP group than in the the HoLEP group of (P lt; 0.05) ( 6) the HoLEP group after January 17 cases of urinary incontinence, the incidence was 17/50 (34%), there are still 3 months after incontinence in 8 cases (16%), four cases still followed up to 6 months the presence of urinary incontinence (8%); PKRP after 1 month of urinary incontinence in 6 cases, the rate was 6/48 (12.5%). Follow-up to the June 5 patients presented with urinary incontinence (10.4%). The two groups after surgery Jan. difference was statistically significant the HoLEP the group above PKRP group (P lt; 0.05) Conclusion: HoLEP and PKRP surgery can improve symptoms in patients with both types of surgery can be a long-term complications , which, in retrograde ejaculation on HoLEP surgery better than PKRP surgery, postoperative incidence of urinary incontinence in January HoLEP surgery higher than the PKRP patients

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CLC: > Medicine, health > Surgery > Urology ( urinary and reproductive system diseases) > Urinary tract and male reproductive system surgery
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