Study on effect of transurethral prostatic plasma enucleation combined with tension-free herniorrhaphy on the treatment of prostatic hyperplasia complicated with inguinal hernia

doi:10.3877/cma.j.issn.1674-392X.2020.02.021

Abstract

Abstract:

Objective

To analyze the effect of transurethral prostate bipolar plasma enucleation (TBPKEP) combined with tension-free herniorrhaphy in the treatment of benign prostatic hyperplasia (BPH) complicated with inguinal hernia.

Methods

Between July 2017 and May 2019, 40 patients with BPH complicated with inguinal hernia in Lujiang county people's hospital were divided into control group and observation group according to the surgical method, with 20 cases in each group. Patients in the control group were treated with TUPKVP combined with tension-free herniorrhaphy, while patients in the observation group were treated with TBPKEP combined with tension-free hernia repair. Operative time, intraoperative blood loss, tissue removal, and postoperative the score of international prostate symptom (IPSS), the score of quality of life (QOL), residual urine volume (RUV) and maximum urine flow rate (Qmax), were compared between the two groups.

Results

The operative time of the observation group was shorter than that of the control group (P<0.05). The amount of tissue excised was significantly higher than the control group (P<0.05), and the intraoperative blood loss in the control group was significantly higher than the observation group (P<0.05). After surgery, the scores of IPSS and QOL in the two groups were significantly lower than before surgery (P<0.05), and after surgery the scores of IPSS and QOL in the observation group were significantly lower than the control group (P<0.05). After surgery, RUV was significantly decreased and Qmax was significantly increased in both groups (P<0.05), and Qmax in the observation group was significantly higher than the control group (P<0.05), and RUV was significantly lower than the control group (P<0.05).

Conclusion

Compared with TUPKVP combined with tension-free herniorrhaphy, TBPKEP combined with tension-free herniorrhaphy for prostate hyperplasia combined with inguinal hernia can significantly increase urine flow, reduce residual urine volume, improve prostate symptoms and quality of life of patients.

Key words: Benign prostatic hyperplasia, Inguinal hernia, Tension-free herniorrhaphy, Maximum urine flow, Residual urine volume

Bo Hong, Dong Chen. Study on effect of transurethral prostatic plasma enucleation combined with tension-free herniorrhaphy on the treatment of prostatic hyperplasia complicated with inguinal hernia[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2020, 14(02): 180-184.

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References 21

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组别	例数	手术时间(min)	术中出血量(ml)	切除组织(g)
观察组	20	59.35±12.19	174.22±56.14	48.25±13.42
对照组	20	72.24±15.34	296.08±67.33	29.28±10.61
t值	?	2.942	6.217	4.959
P值	?	0.006	<0.001	<0.001

组别	例数	手术时间(min)	术中出血量(ml)	切除组织(g)
观察组	20	59.35±12.19	174.22±56.14	48.25±13.42
对照组	20	72.24±15.34	296.08±67.33	29.28±10.61
t值	?	2.942	6.217	4.959
P值	?	0.006	<0.001	<0.001

组别	例数	术前		术后
组别	例数	IPSS评分	QOL评分	IPSS评分	QOL评分
观察组	20	25.79±4.25	5.63±0.47	5.73±1.13^*	1.31±0.18^*
对照组	20	26.04±5.05	5.74±0.55	7.29±1.24^*	1.59±0.16^*
t值	?	0.169	0.680	4.159	5.199
P值	?	0.866	0.501	<0.001	<0.001

组别	例数	术前		术后
组别	例数	IPSS评分	QOL评分	IPSS评分	QOL评分
观察组	20	25.79±4.25	5.63±0.47	5.73±1.13^*	1.31±0.18^*
对照组	20	26.04±5.05	5.74±0.55	7.29±1.24^*	1.59±0.16^*
t值	?	0.169	0.680	4.159	5.199
P值	?	0.866	0.501	<0.001	<0.001

组别	例数	术前	术后
组别	例数	术前	Qmax(ml/s)	RUV(ml)	Qmax(ml/s)	RUV(ml)
观察组	20	8.26±2.96	138.23±23.12	25.14±4.55^*	21.64±13.25^*
对照组	20	8.14±3.18	135.84±29.09	22.30±4.18^*	29.47±10.32^*
t值	?	0.124	0.288	2.056	2.085
P值	?	0.902	0.775	0.047	0.044

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