TVP加膀胱切开取石术治疗前列腺增生伴膀胱结石

The treatment of benign prostate hyperplasia complicated with bladder stones by the means of transurethral electrovaporization combined with cystolithotomy

采用经尿道前列腺电气化（TVP）加膀胱切开取石术治疗Ⅰ～Ⅱ度良性前列腺增生症（BPH）伴多发性或直径较大、质地坚硬的单个膀胱结石14例，结果取出膀胱结石1～18枚；平均手术时间95min，均未输血；术后5～7d拔除导尿管，均排尿通畅。认为TVP加膀胱切开取石术与传统的耻骨上前列腺切除术（SPP）加膀胱取石术相比，具有出血少、创伤小、并发症少、康复快及住院时间短等优点，是一种安全高效的手术方式。

14 patients withⅠ～Ⅱ degree benign prostate hyperplasia (BPH) complicated with multiple or big, hard single bladder stones were treated by the means of transurethral electrovaporization (TVP) combined with cystolithotomy. Of these cases, 1～18 stones were removed.Mean operative time was 95 minutes. Foley's catheters were inserted for 5～7 days after operation.Urinations were unobstructed and no blood transfusion during operation. This new method had the advantages of less bleeding, minimal trauma, lower complications, shorter postoperative hospital stay time,and quicker recovery, in comparing to the traditional suprapubic prostatectomy (SPP)and vesicotomy. It was suggested that this method was safe and high efficient.