基于加速康复外科理念的快速膀胱冲洗在经尿道前列腺电切术和经尿道钬激光前列腺剜除术治疗良性前列腺增生中的作用

Effect of ERAS-Based Rapid Bladder Irrigation on TURP and HoLEP in the Treatment of Benign Prostatic Hyperplasia.

作者信息

An Shuhui, Yang Haoxuan, Meng Qingsong

机构信息

Shuhui An, Department of Urology, The Second Hospital of Hebei Medical University, Shijiazhuang 050000, Hebei, China.

Haoxuan Yang, Department of Urology, The Second Hospital of Hebei Medical University, Shijiazhuang 050000, Hebei, China.

出版信息

Pak J Med Sci. 2025 Mar;41(3):693-698. doi: 10.12669/pjms.41.3.9751.

DOI:10.12669/pjms.41.3.9751

PMID:40103863

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11911731/

Abstract

OBJECTIVE

To explore the positive effect of rapid bladder irrigation in postoperative BPH patients by collecting and analyzing the efficacy and complications of TURP and HoLEP treatments for patients with benign prostatic hyperplasia (BPH) under ERAS care.

METHODS

A retrospective analysis was conducted on 197 BPH patients undergoing surgical treatment at the Second Hospital of Hebei Medical University from April 2022 to February 2024. All patients received rapid bladder irrigation under ERAS care, which involves flushing the bladder with a larger volume of saline solution in a shorter time postoperatively compared to conventional bladder irrigation care. Afterward, clinical data and postoperative irrigation indicators for each group were collected and analyzed.

RESULTS

Patients in the T1 group were observed with larger prostate volume, longer operation time, and more intraoperative blood loss than those in the T2 group, but with shorter duration of indwelling urinary catheters, shorter irrigation time, and shorter hospital stays (P<0.05). Meanwhile, the H1 group saw lower mean irrigation volume and shorter irrigation time than the H2 group. Differences were found between the T1 and H1 groups in terms of mean irrigation volume and irrigation time (P<0.05), Additionally, patients in the T2 group had lower prostate volume than those in the H2 group, with differences in mean irrigation volume and irrigation time (P<0.05).

CONCLUSION

ERAS concept complements rapid bladder irrigation, which shortens the time to self-care recovery and discharge, thereby facilitating faster postoperative recovery for BPH patients.

摘要

目的

通过收集和分析在加速康复外科（ERAS）护理下，经尿道前列腺电切术（TURP）和经尿道前列腺激光剜除术（HoLEP）治疗良性前列腺增生（BPH）患者的疗效及并发症，探讨快速膀胱冲洗在BPH术后患者中的积极作用。

方法

对2022年4月至2024年2月在河北医科大学第二医院接受手术治疗的197例BPH患者进行回顾性分析。所有患者在ERAS护理下接受快速膀胱冲洗，与传统膀胱冲洗护理相比，即在术后更短时间内用更大容量的盐溶液冲洗膀胱。随后，收集并分析每组患者的临床资料及术后冲洗指标。

结果

T1组患者的前列腺体积较T2组大，手术时间更长，术中出血量更多，但留置导尿管时间、冲洗时间和住院时间更短（P<0.05）。同时，H1组的平均冲洗量低于H2组，冲洗时间更短。T1组和H1组在平均冲洗量和冲洗时间方面存在差异（P<0.05）。此外，T2组患者的前列腺体积小于H2组，在平均冲洗量和冲洗时间方面存在差异（P<0.05）。