Department of Urology, the Second Hospital of Dalian Medical University, Dalian, Liaoning Province, China.
Department of General Surgery, the Third People's Hospital of Ningxia, Yinchuan, China.
Minim Invasive Ther Allied Technol. 2022 Jan;31(1):144-148. doi: 10.1080/13645706.2020.1768123. Epub 2020 May 20.
We present a one-session procedure for treating bladder diverticula combined with benign prostatic hyperplasia (BPH).
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.
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.
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.
我们介绍一种治疗膀胱憩室合并良性前列腺增生（BPH）的单次手术方法。
2015 年 1 月至 2019 年 4 月，我们机构对 12 例患者同时进行经尿道等离子前列腺剜除术（TUEP）和腹腔镜膀胱憩室切除术（LD），其中 4 例合并膀胱结石，1 例合并憩室肿瘤。回顾性收集临床资料。
前列腺平均大小为 137.3±96.3（65.5-403.3）ml。憩室最大直径平均为 8.0±2.7（3.2-12.0）cm。总手术时间平均为 214.2±69.0（120-300）min，剜除时间平均为 23.2±6.4（12-35）min。术中平均出血量为 52.1±14.9（30-80）ml。术前和术后最大尿流率平均分别为 5.1±1.4（2.4-8.5）ml/s和 12.8±2.3（9.6-17.1）ml/s。除 1 例患者发生尿路感染外，无其他严重围手术期并发症。
TUEP 联合 LD 可作为一种有效、微创的治疗膀胱憩室合并 BPH 的方法，适用于合并或不合并膀胱结石的患者，可实现合理的手术时间和快速出院。
