The Influence Of The Perioperative Safety And The Operation Effect By Intraoperative Cystostomy Low Perfusion In Benign Prostatic Hyperplasia Patients

Objective:To evaluate the surgical effect and complication of FPKRP in BPH patients under bladder low-pressure perfusion with Cystostomy.Methods:From February2011-2012May in The Sixth Affiliated Hospital of Xinjiang Medical University were treated62patients with BPH require surgery, of which36cases (test group) line of low-voltage (bladder perfusion pressure30cmH2O) with FPKRP,26patients (control group) conventional pressure (bladder perfusion pressure of60cmH2O) perfusion downlink FPKRP. Observed and compared operative time, blood loss, operative time, blood loss, postoperative indwelling catheter time and before and after surgery, prostate symptom score (I-PSS), quality of life score (QOL), residual urine volume (RUV), differences in maximum urinary flow rate (Qmax) of two groups.Results:The test group patients the were pulled out bladder fistula within24h after operation, two groups in3～5d after catheter be unplug urination patients after5～7d discharged. Return on pathological examination were in line with the prostatic nodular hyperplasia changed. The patients were followed up for3months, the test group1patient was lost to follow-up (death) due to other diseases. Short operation time of the test group than the control group, the intraoperative blood loss and resection of prostate weight was lower than the control group, the difference was statistically significant (P<0.05), postoperative indwelling catheterization time was not statistically significant between two groups (P>0.05). Test and control groups after RUV value was significantly lower than the preoperative Qmax values improved significantly compared with the preoperative difference was statistically significant (P<0.05). The the preoperative and postoperative RUV, Qmax was no significant difference between groups (P>0.05). Test group urinary tract infection incidence was lower than the control group, the difference was statistically significant (P <0.05), postoperative urethral stricture, the incidence of urinary incontinence by the difference between the two groups were statistically significant (P>0.05).I-PSS, QOL were significantly reduced than before surgery, and the difference was statistically significant (P<0.05). Preoperative and postoperative I-PSS, QOL disparity difference was not statistically significant(P>0.05).Conclusion:The low-pressure perfusion the occurrence without prostate TURP syndrome (TURS), both to ensure cutting clear vision, but also to ensure that the bladder low pressure filling, improve patient tolerance and increase security.