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经耻骨膀胱前列腺切除术与经尿道前列腺切除术的回顾性手术和早期结果比较。

A Retrospective Operative and Early Outcome Comparison of Suprapubic Transvesical Prostatectomy and Transurethral resection of the Prostate.

机构信息

Department off Surgery, School of Medicine, College of Health Sciences, Addis Ababa University.

出版信息

Ethiop J Health Sci. 2021 Jul;31(4):785-792. doi: 10.4314/ejhs.v31i4.13.

DOI:10.4314/ejhs.v31i4.13
PMID:34703178
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8512948/
Abstract

BACKGROUND

BPH is the major cause of bladder outlet obstruction over the age of 40 years. Multiple surgical management options have been described of which STVP and TURP are the oldest and widely available procedures. The objective of this study is to describe and compare the intraoperative and early outcome situations of STVP and TURP.

METHODS

This is a hospital-based retrospective descriptive study that compares intraoperative and early outcomes of STVP and TURP in Menilik II Hospital from January 2017 to December 2019. The study samples were 72 STVP and 72 TURP patients.

RESULTS

The mean duration of surgery in the STVP group was 97.8 minutes which is significantly longer than TURP group (66.15 minutes). Duration of post-op catheterization and hospital stay are significantly longer in STVP than TURP.

CONCLUSION

The duration of surgery, length of hospital stays and post op catheterization are longer in STVP. There was no significant difference in intra-op and early complications from STVP and TURP.

摘要

背景

BPH 是 40 岁以上患者膀胱出口梗阻的主要原因。已有多种手术治疗方法被描述,其中经尿道前列腺切开术(STVP)和经尿道前列腺切除术(TURP)是最古老和广泛应用的方法。本研究旨在描述和比较 STVP 和 TURP 的术中及早期结果情况。

方法

这是一项基于医院的回顾性描述性研究,比较了 2017 年 1 月至 2019 年 12 月在 Menilik II 医院接受 STVP 和 TURP 的患者的术中及早期结果。研究样本包括 72 例 STVP 患者和 72 例 TURP 患者。

结果

STVP 组的手术平均时间为 97.8 分钟,明显长于 TURP 组(66.15 分钟)。STVP 组的术后导尿管留置时间和住院时间明显长于 TURP 组。

结论

STVP 的手术时间、住院时间和术后导尿管留置时间较长。STVP 和 TURP 的术中及早期并发症无显著差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da04/8512948/94eb35321f49/EJHS3104-0785Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da04/8512948/d77dfe7dcdea/EJHS3104-0785Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da04/8512948/94eb35321f49/EJHS3104-0785Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da04/8512948/d77dfe7dcdea/EJHS3104-0785Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da04/8512948/94eb35321f49/EJHS3104-0785Fig2.jpg

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EAU guidelines on the treatment and follow-up of non-neurogenic male lower urinary tract symptoms including benign prostatic obstruction.EAU 指南:非神经原性男性下尿路症状(包括良性前列腺梗阻)的治疗和随访。
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