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Urethral-sparing laparoscopic simple prostatectomy for the treatment of benign prostatic hyperplasia with asymptomatic urethral stricture after urethral stricture surgery.
- Source :
-
BMC urology [BMC Urol] 2024 Apr 30; Vol. 24 (1), pp. 99. Date of Electronic Publication: 2024 Apr 30. - Publication Year :
- 2024
-
Abstract
- Objective: To evaluate the efficacy of urethral-sparing laparoscopic simple prostatectomy (US-LSP) for the treatment of large-volume (>80 ml) benign prostatic hyperplasia (BPH) with asymptomatic urethral stricture (urethral lumen > 16 Fr) after urethral stricture surgery.<br />Methods: We retrospectively analyzed clinical data of 39 large-volume BPH patients with asymptomatic urethral stricture after urethral stricture surgery who underwent US-LSP from January 2016 to October 2021. Postoperative follow-ups were scheduled at 1, 3, and 6 months.<br />Results: All patients affected by significant BPH-related lower urinary tract symptoms (LUTS) including 22 cases with asymptomatic anterior urethral stricture and 17 cases with asymptomatic posterior urethral stricture. Median operative time was 118 min (interquartile range [IQR]100-145). Median estimated blood loss was 224 ml (IQR: 190-255). 33 patients(84.6%) avoided continuous bladder irrigation. Postoperative complications occurred in 5 patients (12.8%), including 4 cases with Clavien-Dindo grade 1 and grade 2 and 1 case with grade 3a. During follow-up, US-LSP presented statistically significant improvements in LUTS compared to baseline (P < 0.05). A total of 25 patients had normal ejaculation preoperatively and 3 patients (12%) complained retrograde ejaculation postoperatively. Two patients (5.1%) reported stress urinary incontinence (SUI) and no patient reported aggravated urethral stricture during follow-up.<br />Conclusions: US-LSP was safe and effective in treating large-volume BPH with asymptomatic urethral stricture after urethral stricture surgery. Meanwhile, US-LSP could reduce the risk of SUI in patients with asymptomatic posterior urethral stricture and maintain ejaculatory function in a high percentage of patients.<br /> (© 2024. The Author(s).)
- Subjects :
- Humans
Male
Retrospective Studies
Aged
Organ Sparing Treatments methods
Middle Aged
Asymptomatic Diseases
Urethra surgery
Treatment Outcome
Postoperative Complications etiology
Prostatic Hyperplasia surgery
Prostatic Hyperplasia complications
Urethral Stricture etiology
Urethral Stricture surgery
Prostatectomy methods
Prostatectomy adverse effects
Laparoscopy
Subjects
Details
- Language :
- English
- ISSN :
- 1471-2490
- Volume :
- 24
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- BMC urology
- Publication Type :
- Academic Journal
- Accession number :
- 38685008
- Full Text :
- https://doi.org/10.1186/s12894-024-01487-8