Feasibility Analysis of Short-term Indwelling Urete after PKEP

Chunhui WANG; Peiqi XU; Yunqiang SHI; Qingrong PING; Meng YANG; Yingbao WANG; Yiming ZHONG; Xiaofang BI

doi:10.12259/j.issn.2095-610X.S20220313

Volume 43 Issue 3

Mar. 2022

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Article Navigation > Journal of Kunming Medical University > 2022 > 43(3): 50-54

Chunhui WANG, Peiqi XU, Yunqiang SHI, Qingrong PING, Meng YANG, Yingbao WANG, Yiming ZHONG, Xiaofang BI. Feasibility Analysis of Short-term Indwelling Urete after PKEP[J]. Journal of Kunming Medical University, 2022, 43(3): 50-54. doi: 10.12259/j.issn.2095-610X.S20220313

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Chunhui WANG, Peiqi XU, Yunqiang SHI, Qingrong PING, Meng YANG, Yingbao WANG, Yiming ZHONG, Xiaofang BI. Feasibility Analysis of Short-term Indwelling Urete after PKEP[J]. Journal of Kunming Medical University, 2022, 43(3): 50-54. doi: 10.12259/j.issn.2095-610X.S20220313

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Feasibility Analysis of Short-term Indwelling Urete after PKEP

doi: 10.12259/j.issn.2095-610X.S20220313

Dept. of Urology，Yan’an Hospital Affiliated to Kunming Medical University，Kunming Yunnan 650051，China

Received Date: 2022-01-23
Available Online: 2022-02-18
Publish Date: 2022-03-22

Abstract

Abstract

Objective To explore the feasibility of short-term indwelling urete in patients aftert PKEP （transurethral plasmamakinetic enucleation surgery）. Methods We performed a retrospective analysis of the clinical data of 89 patients with benign prostatic hyperplasia （BPH） and treated with PKEP in Yan'an Hospital Affiliated to Kunming Medical University from February 2019 to December 2019. These patients was divided into control group and observation group. The control group was given indwelling with the urine after PKEP, and the observation group left the urete after PKEP short-termly. Compared to the operation time, intraoperative blood volume, resection of gland weight, and other related indicators. Results The surgical time of the control group and the observation group was [（58.40 ± 29.80） min vs （67.40 ± 29.80） min], the weight of the gland was [（54.90 ± 16.60） g vs （61.20 ± 21.50） g], the volume of intraoperative bleeding was [（35.50 ± 13.20） mL vs （35.50 ± 19.20） mL], the difference was not statistically significant （P > 0.05）. However, the observation group was hospitalized [（10.80 ± 3.90） D], hospitalization cost [（1.06 ± 0.49） D VS. （1.38 ± 0.53） d] was significantly lower than that in the control group （P < 0.05） . There was no significant difference between the two groups （P > 0.05） in the incidence of urinary retention, urinary tract infection, urinary incontinence complications. Conclusions After the operator strictly abides by the PKEP operating standard, postoperative short-term indwelling urete can shorten the hospitalization time and reduce the hospitalization cost without increasing the incidence of postoperative complications. It not only achieves a good therapeutic effect, but also reduces the economic burden of patients. These findings verifies the feasibility of this method.
- Prostatic hyperplasia,
- Short-term indwelling urete,
- Urinary incontinence,
- Urinary tract infection,
- Urinary retention

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References(17)

References

[1]	Das A K,Teplitsky Seth,Humphreys M R. Holmium laser enucleation of the prostate (HoLEP):A review and update[J]. Can J Urol,2019,26(4 Suppl 1):13-19.
[2]	Khorrami MH,Tadaion F,Ghanaat I,et al. The efficacy of fibrin glue injection in the prostatic fossa on decreasing postoperative bleeding following transurethral resection of prostate[J]. Adv Biomed Res,2016,5(1):161. doi: 10.4103/2277-9175.192733
[3]	Alradhi M,Lun L K,Safi M,et al. Can bipolar transurethral enucleation of the prostate be a better alternative to the bipolar transurethral resection of the prostate?:A prospective comparative study[J]. Medicine (Baltimore),2021,100(20):e25745.
[4]	李一夫,李晓琳,张岩,等. 国际前列腺症状评分的汉化与评价[J]. 全科医学临床与教育,2019,17(4):305-307.
[5]	陈赵,熊晶,杜国伟,等. 良性前列腺增生患者储尿症状改善对生活质量评分的影响[J]. 现代泌尿外科杂志,2020,25(6):487-490. doi: 10.3969/j.issn.1009-8291.2020.06.005
[6]	彭毅,杜恒彬. 前列腺等离子剜除术联合钬激光碎石术治疗良性前列腺增生合并膀胱结石的疗效分析[J]. 实用医院临床杂志,2020,17(1):106-109. doi: 10.3969/j.issn.1672-6170.2020.01.031
[7]	D Wu,Z E Shi,D Xu,et al. Serum interleukin 6 and acute urinary retention in elderly men with benign prostatic hyperplasia in China:A cross-sectional study[J]. Transl Androl Urol,2021,10(1):455-465. doi: 10.21037/tau-20-914
[8]	Jiang Y,Bai X,Zhang X,et al. Comparative study of the effectiveness and safety of transurethral bipolar plasmakinetic enucleation of the prostate and transurethral bipolar plasmakinetic resection of the prostate for massive benign prostate hyperplasia (>80 ml)[J]. Med Sci Monit,2020,26(undefined):e921272.
[9]	Sagen E,Javid R,Liivrand L,et al. Patient related factors affecting in-hospital costs of a TURP procedure[J]. Scand J Urol,2021,55(4):1-7.
[10]	Zhao Z,Zeng G,Zhong W,et al. A prospective,randomised trial comparing plasmakinetic enucleation to standard transurethral resection of the prostate for symptomatic benign prostatic hyperplasia:three-year follow-up results[J]. Eur Urol,2010,58(5):752-758. doi: 10.1016/j.eururo.2010.08.026
[11]	Zhang J,Wang Y,Li S,et al. Efficacy and safety evaluation of transurethral resection of the prostate versus plasmakinetic enucleation of the prostate in the treatment of massive benign prostatic hyperplasia[J]. Urol Int,2021,105(9-10):1-8.
[12]	Kranz J,Schmidt S,Wagenlehner F,et al. Catheter-Associated Urinary Tract Infections in Adult Patients[J]. Dtsch Arztebl Int,2020,10(1):83-88.
[13]	Yu S,Marshall AP,Li J,et al. Interventions and strategies to prevent catheter-associated urinary tract infections with short-term indwelling urinary catheters in hospitalized patients:An integrative review[J]. Int J Nurs Pract,2020,26(3):e12834.
[14]	李思恒,宋真,丁萍,等. 术后留置尿管时间对前列腺电切术后暂时性尿失禁影响[J]. 临床护理杂志,2016,15(1):26-28.
[15]	杨计原. 前列腺增生术后再次尿潴留的原因分析[J]. 临床研究,2017,25(9):103-105. doi: 10.3969/j.issn.1004-8650.2017.09.053
[16]	Trotsenko P,Wetterauer C,Grimsehl P,et al. Efficacy,safety,and perioperative outcomes of holmium laser enucleation of the prostate-a comparison of patients with lower urinary tract symptoms and urinary retention[J]. Lasers Med Sci,2021,36(7):1397-1402.
[17]	Ray A F,Powell J,Speakman M,J et al. Efficacy and safety of prostate artery embolization for benign prostatic hyperplasia:an observational study and propensity-matched comparison with transurethral resection of the prostate (the UK-ROPE study)[J]. BJU Int,2018,122(2):270-282. doi: 10.1111/bju.14249

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