Therapeutic Effect Of Simultaneous Endoscopic Surgery For The Treatment Of Lower Or Middle Ureteral Calculi And Benign Prostate Hyperplasia

Objective To investigate the efficacy and safety of simultaneous endoscopic surgery for the treatment of patients with lower or middle ureteral calculi combined with benign prostate hyperplasia.Methods A retrospective analysis was performed on the clinical data of 68 patients with ureteral calculi and benign prostate hyperplasia who were treated in our hospital from January 2016 to July 2018,including 32cases in the simultaneous operation group and 36 cases in the staged operation group.The stone-free rate,operative time,hospital stay,complication rate and 3-month postoperative international prostate symptom score（IPSS）,quality of life（QOL）,maximum flow rate（Qmax）,post-void residual urine volume（PVR）were compared between the two groups.Results Both two groups completed surgeries successfully for patients.There were no significant differences between the two groups with regard to operative time[（118.03±14.56）min vs（122.36±11.23）min],stone-free rate（90.6%vs 94.4%）,and rate of complication（18.8%vs 11.1%）,（P>0.05）.However,the total length of hospital stay for patients was（9.85±1.18）min in the simultaneous group,which was significant shorter than（14.05±1.03）min in the staged group（P<0.05）.The data of a 3-month follow-up showed that IPSS[（5.22±1.84）vs（5.56±2.16）],QOL[（1.34±0.83）vs（1.53±0.91）],Q_max[（18.72±2.04）mL vs（19.28±2.65）mL]and PVR[（22.63±13.15）mL vs（28.58±17.30）mL]had no significant differences between the two groups（P>0.05）.Conclusion Simultaneous endoscopic surgery is safe and effective in the treatment of lower or middle ureteral calculi and benign prostate hyperplasia.However,the patient’s condition should be fully evaluated before surgery,and surgical indications should be strictly controlled.