改良式手術技術對於膀胱結石和膀胱出口阻塞的合併治療
林健煇1; 陳志碩1; 黃國財1;黃雲慶1; 何東儒1; 林威宇1; 邱國雄2
1嘉義長庚紀念醫院泌尿外科;2嘉義長庚紀念醫院開刀房
Modified operative technology for bladder stone and bladder output obstruction combined therapy
Jian-Hui Lin1; Chih-Shou Chen1; Kuo-Cai Huang1; Yung-Chin Huang1; Dong-Ru Ho1; Wei-Yu Lin1; Kuo-Hsiung Chiu2
1. Division of Urology, Chang-Gung Memorial Hospital at Chia-Yi, Taiwan;
2. Operative assistance nurse, Chang-Gung Memorial Hospital at Chia-Yi, Taiwan
Purpose: To report our experience about a modified operative technology concerning the bladder stones management while the patients with hyperplasia of prostate and bladder output obstruction.
Materials and Methods: A total 12 male patients with benign prostatic hyperplasia (BPH) and bladder stone(s) were included from Jun 2011 to Sep 2015. The patients are treated with combination of transurethral cystolithotripsy with Holmium laser and transurethral resection of the prostate (TURP) using the 26F resectoscope (Olympus monopolar) at the same time. The effectiveness and safety of the novel method were evaluated.
Results: We reviewed the records of 12 patients undergoing transurethral cystolithotripsy with holmium laser and simultaneous transurethral resection of prostate (TURP). The mean bladder stone size was 1.68 cm and the mean operation time was 144 minutes. The average weight of resection prostate chip was 33gm and the stone fragments were large size. Stone fragments were removed completely and TURP procedures were done successfully in all of the patients without TURP syndrome. Mild hematuria was found more frequently.
Conclusions: A modified operative technology that using the same 26Fr resectoscope for transurethral laser cystolithotripsy and TURP is an effective and safe minimally invasive treatment for bladder stones in patients with BPH. It is lower complication rates and can reduce the possibility of TURP syndrome.
Key words: Bladder stone, Prostatic hyperplasia, Lasers, Lithotripsy, Holmium Laser, Transurethral resection of prostate.