- 期刊
以經膀胱前列腺切除術治療良性前列腺肥大症：364病例分析
Transvesical Prostatectomy for Benign Prostatic Hyperplasia - A 364 Cases Analysis
摘要
高雄醫學院泌尿科在過去16年中總計有364例前列腺肥大症患者因排尿障礙而住院接受經膀胱前列腺切除術；其手術所需要之時間平均為116.1分鐘，而所切除之前列腺重量平均為38.3克。在併發症方面有6.8%患者發生傷口感染；1.92%發生尿失禁；4.12%患者發生尿道狹窄及0.27%患者發生性無能。由本報告結果顯示，經膀胱前列腺切除同時施輸管結紮患者中有4.3%發生睪丸或副睪丸炎，反之未接受輸精管結紮者有1.8%發生之，顯示輸精管結紮並無法預防睪丸炎或副睪丸炎的發生。本文有1例患者術後死亡，死亡率為0.27%。 本文也發現6.86%患者因術後發生傷口感染現象而需給予更多的抗生素治療，同時也增加了住院天數。因此我們認為除非患者有其他泌尿系統疾病如膀胱室等，否則經膀胱前列線切除術並非治療前列線大症之最理想方式。
關鍵字
無資料並列摘要
During a 16 year period from January 1972 to December 1988, transvesical prostatectomies were performed on 364 patients with benign prostatic hyperplasia in the Deparment of urology, Kaohsiung Medical College Hospital. The average operational procedure time was 116.1 miuntes and the average amount of tissue resected was 38.3 grams. The most common complications were wound infections (6.8%), stress incontinence (1.92%), urethral stricture (4.12%) and impotence (0.27%). In this series, epididymitis and /or orchitis was noted in 4.3% of those who underwent vasectomies and 1.8%of those who did not; thus, epididymitis cannot be prevented by a prophylactic vasectomy. There was one postoperative death (mortality rate-0.27%). The present study found that 6.86% of the transvesical prostatectomy patients will require longer hospilization and greater amounts of antibiotics due to post-operative wound infection; therefore the use of transvesical prostatectomy will decline and only be recommended for fit patients with others genitourinary diseases such as bladder diverticulum or giant bladder calculus.