攝護腺刮除手術後膀胱頸萎縮發生率—秀傳醫院經驗分享
Incidence and risk factor of bladder neck contracture
after Bipolar versus Laser TUR-P
An Experience From Show Chwan Memorial Hospital
黃政建、林茂盛1、馮超傑、王建翔1、周智原1、謝輝龍3、吳其翔、
陳兆智4、林大鐘
秀傳醫療社團法人秀傳紀念醫院泌尿部；財團法人彰濱秀傳紀念醫院泌尿部；
竹山秀傳紀念醫院泌尿部；台中尚美泌尿科診所
Wong Jin-Kiong1, Lin Mao-Sheng1, Fong Chau-Jye, Wang Chien-Hsiang1,
Chou chih-yuan1, Hsih Hui-Lung3, Wu Chyi-Hsiang, Chen Chao-Chih4, Lin Ta-Chong1
Department of Urology, Chang Hua Show Chwan Memorial Hospital1,
Department of Urology, Chang Bin Show Chwan Memorial Hospital2,
Department of Urology, Chu Shang Show Chwan Memorial Hospital3,
Sun Mei Urology Clinic, Taichung, Taiwan
ABSTRACT:
A retrospective study to review the incidence, severity and risk factors of bladder neck contracture (BNC) in patients with benign prostatic hyperplasia who underwent Bipolar or Laser TUR-P intevenetion.
PATIENTS AND METHODS:
A retrospective studies from Department of Urology, Show Chwan Memorial Hospital.
A total of 279 patients, collected from Jun 2014 to Oct 2016.
All the patients are benign prostate hyperplasia, underwent bipolar and laser TUR-P surgical intervention.
We collected the factors of age, prostate size, time consuming, post op UTI status, to compare the incidence of bladder neck contracture after bipolar and laser TUR-P intervention. .
RESULT:
From over studies, we found that 11.4% of laser TUR-P, 5.73% of bipolar TUR-P have bladder neck contracture happened.
66.6% patient has UTI after surgery
33.3% do not have UTI
CONCLUSION:
Laser TUR-P may cause more bladder neck contracture that bipolar.
UTI after surgery become a risk factor in BNC formation
Prophylatic antibiotic may be necessary for 2-3 weeks.