Analysis of risk factors for bladder neck contracture after transurethral endoscopic surgery for benign prostatic hyperplasia.

IF 2.7 4区医学 Q3 ENDOCRINOLOGY & METABOLISM

Aging Male Pub Date : 2024-12-01 Epub Date: 2024-11-27 DOI:10.1080/13685538.2024.2429456

Yingbing Wu, Lei Huang, Can Liu, Shujun Bai, Yu Chen, Qiong Bao, Xing Luo, Jingzhen Zhu, Weihua Fu, Ji Zheng, Zhao Jiang, Bishao Sun

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引用次数: 0

Abstract

Objective: To investigate the risk factors of bladder neck contracture (BNC) after transurethral endoscopic surgery for benign prostatic hyperplasia (BPH), and to provide a reference basis for the clinic.

Methods: Clinical data of patients who underwent transurethral endoscopic surgery in our hospital from December 2019 to May 2023 were retrospectively collected. The incidence and risk factors of BNC after transurethral endoscopic surgery were analyzed by multivariate logistic regression analysis.

Results: A total of 420 cases were included in this study, of which 246 were treated with bipolar transurethral resection of the prostate (bTURP) and 174 with green light laser vaporization of the prostate (GL-PVP), and there was no statistically significant difference in the incidence of BNC when comparing these two types of operations. A total of 18 patients developed BNC after surgery, and the overall incidence of BNC was 4.29%. Multivariate logistic regression analysis showed that smaller preoperative prostate volume (p = 0.042), smoking history (p = 0.009), positive preoperative urine culture (p = 0.001), and prolonged postoperative catheterization days (p = 0.003) were independent risk factors of BNC.

Conclusion: Smaller preoperative prostate volume, smoking history, positive preoperative urine culture, and prolonged postoperative indwelling catheterisation were independent risk factors for BNC.

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经尿道内窥镜手术治疗良性前列腺增生症后膀胱颈挛缩的风险因素分析。

目的探讨经尿道内镜手术治疗良性前列腺增生（BPH）术后膀胱颈挛缩（BNC）的危险因素，为临床提供参考依据：回顾性收集2019年12月-2023年5月在我院接受经尿道内镜手术患者的临床资料。采用多变量Logistic回归分析法对经尿道内镜手术后BNC的发生率及危险因素进行分析：本研究共纳入420例患者，其中246例采用双极经尿道前列腺电切术（bTURP）治疗，174例采用绿光激光前列腺汽化术（GL-PVP）治疗，两种手术方式的BNC发生率比较差异无统计学意义。共有18名患者在术后出现了BNC，BNC的总发生率为4.29%。多变量逻辑回归分析显示，术前前列腺体积较小（p = 0.042）、吸烟史（p = 0.009）、术前尿培养阳性（p = 0.001）和术后导尿天数延长（p = 0.003）是导致BNC的独立风险因素：结论：术前前列腺体积较小、吸烟史、术前尿培养阳性和术后留置导尿时间较长是 BNC 的独立危险因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Aging Male 医学-泌尿学与肾脏学

CiteScore

6.40

自引率

3.80%

发文量

审稿时长

>12 weeks

期刊介绍： The Aging Male , the official journal of the International Society for the Study of the Aging Male, is a multidisciplinary publication covering all aspects of male health throughout the aging process. The Journal is a well-recognized and respected resource for anyone interested in keeping up to date with developments in this field. It is published quarterly in one volume per year. The Journal publishes original peer-reviewed research papers as well as review papers and other appropriate educational material that provide researchers with an integrated perspective on this new, emerging specialty. Areas of interest include, but are not limited to: Diagnosis and treatment of late-onset hypogonadism Metabolic syndrome and related conditions Treatment of erectile dysfunction and related disorders Prostate cancer and benign prostate hyperplasia.