经尿道前列腺汽化电切术联合疝无张力术治疗高龄前列腺增生症并腹股沟疝的探讨

Treatment of elder benign prostatic hyperplasia and inguinal hernia with Tranurethral Electrovaporization of the prostate plus non-tensility Hernia neoplasty

目的探讨经尿道前列腺汽化电切术(TUVP)联合疝无张力术治疗高龄前列腺增生症(BPH)并腹股沟疝的可行性及优越性。方法用环状网塞填充疝环口,以达到修补缺损,用片状补片加强腹股沟管后壁;再一期行TUVP。结果术后效果满意,具有创伤小、恢复快、腹股沟区无紧缩感、疼痛轻、拔出尿管后排尿顺畅、伤口一期愈合;短期无术后并发症及疝复发的优点。结论TUVP联合疝无张力术一期治疗高龄BPH并腹股沟疝效果良好,尤其对合并其他内科疾病的患者更具有优越性和实用性。

[Objective] To research the feasibility and superiority of tranurethral electrovaporization of the prostate plus non-tensility Henaia neoplasty in the treatment of eider benign prostatic hyperplasia and in-guinal hernia. [Methods] The defect of hernia ring was filled by cupped plug and posterror wall of inguinal cannal was enhanced by a mesh. Subsequently the TUVP was done in same stage. [Result] The recent period efficacy was sat- isfaction. The wound healing was good. No postoperative complications and relapsing hernia were found. The patient＇s urination was smooth after removing urinary catheter. [Conclusion] This procedure has many advantages which are nfinor trauma, prompt recover and less postperative complications. TUVP and non-tensility Hernia neoplasty can be performed in one stage for prostatic hyperplasia associated with inguinal hernia, especially in the elderly and other medical concomitant disease.