Introduction: Benign prostatic hypertrophy and inguinal hernia are related and frequent pathologies in people over 50 years old. Their incidence is 15% to 25% according to the literature. The occurrence of hernia duri...Introduction: Benign prostatic hypertrophy and inguinal hernia are related and frequent pathologies in people over 50 years old. Their incidence is 15% to 25% according to the literature. The occurrence of hernia during benign prostatic hyperplasia is favored by disorders of the lower urinary tract. Simultaneous single-stage treatment of these two pathologies makes it possible to obtain satisfactory results that can reduce the cost of hospital stay and the multiple risk of anesthesia. The aim of our study was to: 1) Report the epidemiological, anatomo-clinical and para-clinical aspects of hernias during benign prostatic hypertrophy;2) Evaluate the feasibility and the results of the combined treatment of inguinal hernia and prostatic adenectomy in a single operation. Patients and Method: This was a retrospective descriptive study over a period of 7 years from March 2014 to February 2021, including patients operated on simultaneously at the University Hospital of Abeche for inguinal hernia and benign prostatic hypertrophy. The variables studied were: age, antecedents, favouring factors, clinical symptomatology, para-clinical elements, treatments and results: Results: 356 patients underwent surgery for benign prostatic hyperplasia, 36 of whom had an associated inguinal hernia. The mean age was 65.5 years, ranging from 50 to 93 years. The main reason for consultation was chronic urinary retention. The average consultation time was 10.2 months. The inguinal hernia was located on the right in 51% of cases and on the left in 18.4%. The mean prostatic volume measured by suprapubic ultrasound was 60.5 ± 25 cc. 14% and 10.2% of patients respectively were found to have struggle bladder and bilateral ureterohydronephrosis. Transvesical suprapubic adenectomy of the prostate was performed in all patients. The Bassini technique was the most commonly used (91%) for hernia repair. The average hospital stay was 7.5 days. Conclusion: Simultaneous treatment of benign prostatic hypertrophy and inguinal hernia reduces the number of h展开更多
目的分析腹腔镜下经尿道等离子电切术(PKRP)同期联合疝环充填式无张力疝修补术(PMHR)治疗腹股沟斜疝(IIH)合并前列腺良性增生(BPH)老年患者的实际临床效果及安全性。方法前瞻性招募2021年6月至2022年6月于空军军医大学第二附属医院泌尿...目的分析腹腔镜下经尿道等离子电切术(PKRP)同期联合疝环充填式无张力疝修补术(PMHR)治疗腹股沟斜疝(IIH)合并前列腺良性增生(BPH)老年患者的实际临床效果及安全性。方法前瞻性招募2021年6月至2022年6月于空军军医大学第二附属医院泌尿外科收治的IIH合并BPH老年患者,计算机随机数字法分为对照组(37例)与试验组(37例)。试验组执行腹腔镜下PKRP同期联合PMHR,对照组间隔1周分期执行腹腔镜下PKRP与PMHR。比较两组术中出血量和住院时间、国际前列腺症状评分(IPSS)、尿动力参数、Prince-Henry疼痛评分、术后尿潴留发生率。结果本项目共筛选79例患者,其中3例因经济等个人原因退出本研究,2例随访期间失访,共成功入组74例,其中试验组37例、对照组37例。治疗后,试验组术中出血量和住院时间均低于对照组(P<0.05)。试验组及对照组IPSS评分分别为(6.15±1.14)、(9.68±1.27),差异有统计学意义(P<0.05)。治疗后,试验组与对照组24 h Prince-Henry疼痛评分分别为(1.53±0.63)、(2.98±1.37),差异有统计学意义(P<0.05)。试验组与对照组急迫尿意时膀胱容量分别为(385.65±41.58)ml、(351.25±35.19)ml,膀胱顺应性分别为(43.85±7.12)ml/cmH_(2)O、(32.58±5.28)ml/cmH_(2)O,治疗后两组患者急迫尿意时膀胱容量、膀胱顺应性均升高(P<0.05),且试验组急迫尿意时膀胱容量、膀胱顺应性显著高于对照组(P<0.05)。试验组与对照组尿潴留发生率分别为8.44%(3/37)、35.14%(13/37),差异有统计学意义(校正χ^(2)=7.974,P=0.005)。结论腹腔镜下PKRP同期联合PMHR对于IIH合并BPH老年患者能够促进恢复,缓解疼痛,同时能够改善尿动力学,降低尿潴留发生率。展开更多
文摘Introduction: Benign prostatic hypertrophy and inguinal hernia are related and frequent pathologies in people over 50 years old. Their incidence is 15% to 25% according to the literature. The occurrence of hernia during benign prostatic hyperplasia is favored by disorders of the lower urinary tract. Simultaneous single-stage treatment of these two pathologies makes it possible to obtain satisfactory results that can reduce the cost of hospital stay and the multiple risk of anesthesia. The aim of our study was to: 1) Report the epidemiological, anatomo-clinical and para-clinical aspects of hernias during benign prostatic hypertrophy;2) Evaluate the feasibility and the results of the combined treatment of inguinal hernia and prostatic adenectomy in a single operation. Patients and Method: This was a retrospective descriptive study over a period of 7 years from March 2014 to February 2021, including patients operated on simultaneously at the University Hospital of Abeche for inguinal hernia and benign prostatic hypertrophy. The variables studied were: age, antecedents, favouring factors, clinical symptomatology, para-clinical elements, treatments and results: Results: 356 patients underwent surgery for benign prostatic hyperplasia, 36 of whom had an associated inguinal hernia. The mean age was 65.5 years, ranging from 50 to 93 years. The main reason for consultation was chronic urinary retention. The average consultation time was 10.2 months. The inguinal hernia was located on the right in 51% of cases and on the left in 18.4%. The mean prostatic volume measured by suprapubic ultrasound was 60.5 ± 25 cc. 14% and 10.2% of patients respectively were found to have struggle bladder and bilateral ureterohydronephrosis. Transvesical suprapubic adenectomy of the prostate was performed in all patients. The Bassini technique was the most commonly used (91%) for hernia repair. The average hospital stay was 7.5 days. Conclusion: Simultaneous treatment of benign prostatic hypertrophy and inguinal hernia reduces the number of h
文摘目的分析腹腔镜下经尿道等离子电切术(PKRP)同期联合疝环充填式无张力疝修补术(PMHR)治疗腹股沟斜疝(IIH)合并前列腺良性增生(BPH)老年患者的实际临床效果及安全性。方法前瞻性招募2021年6月至2022年6月于空军军医大学第二附属医院泌尿外科收治的IIH合并BPH老年患者,计算机随机数字法分为对照组(37例)与试验组(37例)。试验组执行腹腔镜下PKRP同期联合PMHR,对照组间隔1周分期执行腹腔镜下PKRP与PMHR。比较两组术中出血量和住院时间、国际前列腺症状评分(IPSS)、尿动力参数、Prince-Henry疼痛评分、术后尿潴留发生率。结果本项目共筛选79例患者,其中3例因经济等个人原因退出本研究,2例随访期间失访,共成功入组74例,其中试验组37例、对照组37例。治疗后,试验组术中出血量和住院时间均低于对照组(P<0.05)。试验组及对照组IPSS评分分别为(6.15±1.14)、(9.68±1.27),差异有统计学意义(P<0.05)。治疗后,试验组与对照组24 h Prince-Henry疼痛评分分别为(1.53±0.63)、(2.98±1.37),差异有统计学意义(P<0.05)。试验组与对照组急迫尿意时膀胱容量分别为(385.65±41.58)ml、(351.25±35.19)ml,膀胱顺应性分别为(43.85±7.12)ml/cmH_(2)O、(32.58±5.28)ml/cmH_(2)O,治疗后两组患者急迫尿意时膀胱容量、膀胱顺应性均升高(P<0.05),且试验组急迫尿意时膀胱容量、膀胱顺应性显著高于对照组(P<0.05)。试验组与对照组尿潴留发生率分别为8.44%(3/37)、35.14%(13/37),差异有统计学意义(校正χ^(2)=7.974,P=0.005)。结论腹腔镜下PKRP同期联合PMHR对于IIH合并BPH老年患者能够促进恢复,缓解疼痛,同时能够改善尿动力学,降低尿潴留发生率。
