Background Transurethral resection of prostate （TURP） has been considered as the standard treatment for benign prostatic hyperplasia （BPH）. However, issues that have not yet been overcome for TURP include bleeding...Background Transurethral resection of prostate （TURP） has been considered as the standard treatment for benign prostatic hyperplasia （BPH）. However, issues that have not yet been overcome for TURP include bleeding and absorption of irrigation fluid. Thus, novel improvement of the surgery is necessary. This study aimed to evaluate the efficacy and safety of bipolar plasma vaporization of the prostate （BPVP） with ＂button-type＂ electrode against standard TURP for BPH.展开更多
BACKGROUND Trans-urethral resection of prostate(TURP) is one of the most commonly performed operations in urology to treat bladder outflow obstruction(BOO) in men. TURP surgery is also a key for endo-urological traini...BACKGROUND Trans-urethral resection of prostate(TURP) is one of the most commonly performed operations in urology to treat bladder outflow obstruction(BOO) in men. TURP surgery is also a key for endo-urological training in the British National Health Service(NHS) for training junior urologists. The working hypothesis is that prostate resection speed(PRS) in the context of bipolar TURP surgery, is not a key factor in major complication rates or broad patient outcomes at 3 mo after surgery, and therefore supervising consultants should not focus primarily on resection speed when teaching TURP.AIM To investigate objective differences in consultants vs trainees PRS and whether PRS affected complication rates/outcomes after TURP.METHODS Retrospective descriptive study analyzing patient case-notes, operative and electronic records, study undertaken at Burton Queen's Hospital NHS Foundation Trust, United Kingdom, a secondary care centre in the public sector of the NHS. Participants included: all Bipolar TURPs undertaken between13/04/2016 and 27/06/2017. Exclusions: patients undergoing concomitant operations or where intra-operative equipment problems occurred. Resected prostate(g), operative time, post-operative complications and outcomes at 3-mo were obtained from electronic records. Clavien-Dindo Grade II complications or above considered significant. Binary successful yes/no outcome at 3-mo after surgery included both patients who reported moderate to significant symptom improvement, or being catheter-free for those catheterized before TURP.RESULTS157 patients were identified. After exclusion a total of 125 patients were included from analysis. The mean PRS for trainees(0.34 g/min) was found to be lower than the mean PRS for consultants(0.41 g/min). The operating urologist's PRS was not observed to be related to the number of TURPs that they performed during the period of the study. The trainee vs consultant means post-operative success rates(86.5% vs 90.5%) were comparable. The Trainees' patients did not suffer any significant complications as defined by the study. There was no clear relationship observed between PRS and the rate of significant post-operative complications or patients' 3-mo binary successful outcome. PRS was noted to increase with increasing intra-operative experience for both Trainees 1 and 2 when comparing the first half of their TURPs to their latter half.CONCLUSION Consultants have a higher PRS in comparison to trainees. There is no trend between PRS and significant post-operative complication rates or 3-mo outcomes.展开更多
目的 对比探究经尿道前列腺双极等离子电切术(Plasma Kinetic Resection of the Prostate, PKRP)与传统经尿道前列腺电切术(Transurethral Resection of the Prostate, TURP)在良性前列腺增生治疗中的临床效果差异。方法 回顾性选取2023...目的 对比探究经尿道前列腺双极等离子电切术(Plasma Kinetic Resection of the Prostate, PKRP)与传统经尿道前列腺电切术(Transurethral Resection of the Prostate, TURP)在良性前列腺增生治疗中的临床效果差异。方法 回顾性选取2023年1-12月在甘肃省武威市凉州区解放军第九四三医院接受治疗的100例良性前列腺增生患者的临床资料,依照不同的治疗手段分为A组(50例,接受TURP治疗)和B组(50例,接受PKRP治疗)。对比两组的治疗效果。结果 治疗后,B组各项手术相关指标优于A组,差异有统计学意义(P均<0.05)。治疗后,B组前列腺症状评分、勃起功能水平评分低于A组,差异有统计学意义(P均<0.05)。治疗后,B组尿流率(19.58±2.49)mL/s高于A组,残余尿量(21.51±3.31)mL低于A组,差异有统计学意义(t=8.919、14.185,P均<0.05)。结论 在良性前列腺增生患者的治疗过程中,采用PKRP能够更明显地改善患者围术期的各项指标,并且在缓解前列腺症状、提升勃起功能以及改善尿动力学方面表现出更为突出的优势。展开更多
目的评估普通电切镜、等离子电切镜应用在前列腺增生(prostatic hyperplasia,PH)手术治疗中的效果及安全性。方法纳入2021年7月—2023年1月上海中医药大学附属第七人民医院泌尿外科的76例PH患者,参照随机数字表法分为对照组(纳入38例,...目的评估普通电切镜、等离子电切镜应用在前列腺增生(prostatic hyperplasia,PH)手术治疗中的效果及安全性。方法纳入2021年7月—2023年1月上海中医药大学附属第七人民医院泌尿外科的76例PH患者,参照随机数字表法分为对照组(纳入38例,行普通电切镜手术)、观察组(纳入38例,行等离子电切镜手术)。评价两组临床有效率、围手术期参数、尿流动力学、国际前列腺症状评分(international prostate symptom score,IPSS)、射精功能评分(ejaculatory function score,CIPE-5)、生活质量综合评定问卷(comprehensive quality of life assessment questionnaire-74,GQOLI-74)、并发症。结果(1)观察组临床总有效率高于对照组,手术用时、住院时间、尿管留置时间短于对照组,手术出血量及并发症总发生率低于对照组(P<0.05);(2)术前,两组尿流动力学、IPSS、CIPE-5、GQOLI-74比较,差异无统计学意义(P>0.05);术后,观察组尿流动力学、IPSS、CIPE-5、GQOLI-74更佳(P<0.05)。结论在PH手术治疗中采用等离子电切镜手术,有助于增强疗效,优化围手术期参数,减少并发症及性功能障碍,改善排尿功能与生活质量。展开更多
文摘Background Transurethral resection of prostate （TURP） has been considered as the standard treatment for benign prostatic hyperplasia （BPH）. However, issues that have not yet been overcome for TURP include bleeding and absorption of irrigation fluid. Thus, novel improvement of the surgery is necessary. This study aimed to evaluate the efficacy and safety of bipolar plasma vaporization of the prostate （BPVP） with ＂button-type＂ electrode against standard TURP for BPH.
文摘BACKGROUND Trans-urethral resection of prostate(TURP) is one of the most commonly performed operations in urology to treat bladder outflow obstruction(BOO) in men. TURP surgery is also a key for endo-urological training in the British National Health Service(NHS) for training junior urologists. The working hypothesis is that prostate resection speed(PRS) in the context of bipolar TURP surgery, is not a key factor in major complication rates or broad patient outcomes at 3 mo after surgery, and therefore supervising consultants should not focus primarily on resection speed when teaching TURP.AIM To investigate objective differences in consultants vs trainees PRS and whether PRS affected complication rates/outcomes after TURP.METHODS Retrospective descriptive study analyzing patient case-notes, operative and electronic records, study undertaken at Burton Queen's Hospital NHS Foundation Trust, United Kingdom, a secondary care centre in the public sector of the NHS. Participants included: all Bipolar TURPs undertaken between13/04/2016 and 27/06/2017. Exclusions: patients undergoing concomitant operations or where intra-operative equipment problems occurred. Resected prostate(g), operative time, post-operative complications and outcomes at 3-mo were obtained from electronic records. Clavien-Dindo Grade II complications or above considered significant. Binary successful yes/no outcome at 3-mo after surgery included both patients who reported moderate to significant symptom improvement, or being catheter-free for those catheterized before TURP.RESULTS157 patients were identified. After exclusion a total of 125 patients were included from analysis. The mean PRS for trainees(0.34 g/min) was found to be lower than the mean PRS for consultants(0.41 g/min). The operating urologist's PRS was not observed to be related to the number of TURPs that they performed during the period of the study. The trainee vs consultant means post-operative success rates(86.5% vs 90.5%) were comparable. The Trainees' patients did not suffer any significant complications as defined by the study. There was no clear relationship observed between PRS and the rate of significant post-operative complications or patients' 3-mo binary successful outcome. PRS was noted to increase with increasing intra-operative experience for both Trainees 1 and 2 when comparing the first half of their TURPs to their latter half.CONCLUSION Consultants have a higher PRS in comparison to trainees. There is no trend between PRS and significant post-operative complication rates or 3-mo outcomes.
文摘目的 对比探究经尿道前列腺双极等离子电切术(Plasma Kinetic Resection of the Prostate, PKRP)与传统经尿道前列腺电切术(Transurethral Resection of the Prostate, TURP)在良性前列腺增生治疗中的临床效果差异。方法 回顾性选取2023年1-12月在甘肃省武威市凉州区解放军第九四三医院接受治疗的100例良性前列腺增生患者的临床资料,依照不同的治疗手段分为A组(50例,接受TURP治疗)和B组(50例,接受PKRP治疗)。对比两组的治疗效果。结果 治疗后,B组各项手术相关指标优于A组,差异有统计学意义(P均<0.05)。治疗后,B组前列腺症状评分、勃起功能水平评分低于A组,差异有统计学意义(P均<0.05)。治疗后,B组尿流率(19.58±2.49)mL/s高于A组,残余尿量(21.51±3.31)mL低于A组,差异有统计学意义(t=8.919、14.185,P均<0.05)。结论 在良性前列腺增生患者的治疗过程中,采用PKRP能够更明显地改善患者围术期的各项指标,并且在缓解前列腺症状、提升勃起功能以及改善尿动力学方面表现出更为突出的优势。
文摘目的评估普通电切镜、等离子电切镜应用在前列腺增生(prostatic hyperplasia,PH)手术治疗中的效果及安全性。方法纳入2021年7月—2023年1月上海中医药大学附属第七人民医院泌尿外科的76例PH患者,参照随机数字表法分为对照组(纳入38例,行普通电切镜手术)、观察组(纳入38例,行等离子电切镜手术)。评价两组临床有效率、围手术期参数、尿流动力学、国际前列腺症状评分(international prostate symptom score,IPSS)、射精功能评分(ejaculatory function score,CIPE-5)、生活质量综合评定问卷(comprehensive quality of life assessment questionnaire-74,GQOLI-74)、并发症。结果(1)观察组临床总有效率高于对照组,手术用时、住院时间、尿管留置时间短于对照组,手术出血量及并发症总发生率低于对照组(P<0.05);(2)术前,两组尿流动力学、IPSS、CIPE-5、GQOLI-74比较,差异无统计学意义(P>0.05);术后,观察组尿流动力学、IPSS、CIPE-5、GQOLI-74更佳(P<0.05)。结论在PH手术治疗中采用等离子电切镜手术,有助于增强疗效,优化围手术期参数,减少并发症及性功能障碍,改善排尿功能与生活质量。
