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首页> 外文期刊>Nigerian Journal of Surgery >Transurethral Resection of the Prostate: A 3 Year Experience
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Transurethral Resection of the Prostate: A 3 Year Experience

机译：经尿道前列腺电切术：3年经验

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Background: Transurethral resection of the prostate (TURP) is considered the 'gold standard' in the surgical management of bladder outlet obstruction secondary to benign prostatic hyperplasia and advanced carcinoma of the prostate. The procedure is however still not routinely available in most public health institutions in Nigeria. We present our experience with this treatment modality over a three year period Methods: The records of patients who underwent TURP over a period of three years (April 2006 May 2009) were examined. The biodata, Laboratory investigations, detail of the surgical procedure and outcome were extracted and analysed Results: The records of forty three patients were examined. The age range was 49 76yrs (mean 65yrs +/- 5.8 SD). The prostate specific antigen ranged from 1.3 50.3ng/ml (mean 13.3 +/- 12.8). The mean prostate size was 59g +/- 20 SD (range 27 98grams). The indications for the surgery included refractory acute urinary retention 48.8%, failed medical treatment 21%, recurrent UTI 16%, recurrent haematuria 9%, chronic urinary retention 2%. The mean duration of surgery was 80.5mins +/- 14 SD (range 60 120mins). The period of hospital stay ranged from 3 32 days (mean 8.7 days +/- 7.7 SD). Complications included capsular perforation in 2 patients, TURP syndrome in 2 patients, total incontinence in 1 patient and failure to void in 2 patients. Most patients (93%) had satisfactory voiding and insignificant post void residual urine volume during subsequent follow up visits. Conclusion: Transurethral resection of prostate is a safe and effective treatment modality in the surgical management of men with bladder outlet obstruction secondary to BPH and advanced CAP in our environment.
机译：背景：经尿道前列腺电切术（TURP）被认为是继发于前列腺良性增生和晚期前列腺癌的膀胱出口梗阻的外科手术治疗的“金标准”。但是，尼日利亚的大多数公共卫生机构仍然无法常规使用该程序。我们介绍了我们在三年内使用这种治疗方法的经验。方法：检查了三年（2006年4月2009年5月）接受TURP的患者的记录。提取并分析生物学数据，实验室检查，手术步骤和结果的细节。结果：检查了43例患者的记录。年龄范围是49 76岁（平均65岁+/- 5.8 SD）。前列腺特异性抗原的范围为1.3 50.3ng / ml（平均13.3 +/- 12.8）。平均前列腺大小为59g +/- 20 SD（范围27 98克）。手术适应症包括难治性急性尿retention留48.8％，药物治疗失败21％，复发性尿路感染16％，复发性血尿9％，慢性尿retention留2％。平均手术时间为80.5分钟+/- 14 SD（范围60 120分钟）。住院时间为3 32天（平均8.7天+/- 7.7 SD）。并发症包括2例患者的荚膜穿孔，2例TURP综合征，1例完全失禁和2例无法排尿。大多数患者（93％）在随后的随访中均具有令人满意的排尿和无效的排尿后残余尿量。结论：在我们的环境中，经尿道前列腺前列腺切除术是继发BPH和晚期CAP并发膀胱出口梗阻的男性的外科手术治疗中的一种安全有效的治疗方式。

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