35例膀胱肿瘤并前列腺增生症同期经尿道手术分析

The treatment of 35 cases of BPH complicated with bladder tumor

目的研究前列腺增生症合并膀胱肿瘤的治疗方法。方法回顾性分析35例膀胱癌并前列腺增生症患者同期施行经尿道膀胱肿瘤电切术及经尿道前列腺电汽化术的临床资料。结果患者均顺利康复,无明显合并症,术后复诊,其中6例出现肿瘤复发,复发部位不位于前列腺窝。结论只要注意术前、术中及术后处理,同期经尿道汽化电切膀胱癌和前列腺,并不增加前列腺窝种植的风险,并且可降低膀胱癌术后复发率,提高生活质量,安全有效。

Objective To study the treatments of BPH complicated with bladder tumor. Methods The clinical data of 35 cases of bladder tumor with BPH treated by trans urethral resection of bladder tumor（TURBt） and TUVP（trans urethral vaporization of prostate） simultaneously were reviewed. Results All patients in this team recovered smoothly without complications except 6 cases of tumor recurrences which occurred not in the prostatic urethra. Conclusion TUVP applied to the patients with bladder cancer through urethral can not increase the risk of prostatic fossa implantation. It can decrease relapse rate and improve life quality,if much more care is given before,during and after operation.