Transurethral Resection of Prostate with Incision of Bladder Neck in Benign Prostatic Hyperplasia

Objective to evaluate the effect of transurethral resection of prostate(TURP) combined with transurethral incision of bladder neck(TUIBN) in treatment of benign prostatic hyperplasia.Methods Ninety-eight patients with surgical removal of prostatic hyperplasia weighing less than 25 g were chosen,including 30 cases of suprapubic transvesical prostatectomy(group SPP),33 TURP(group TURP),35 TURP+TUIBN(group TURP+TUIBN).The prostate symptom score(IPSS) and maximal urinary flow rate indicators(Qmax) were reviewed 3 months after operation.Results In SPP group,IPSS decreased from(25.4±3.6) to(17.1±2.3),Qmax increased from(7.5±3.5) ml/s to(11.5±3.0) ml/s;in TURP group,IPSS from(24.3±3.3) to(13.2±1.7),Qmax from(7.8±3.6) ml/s to(13.2±4.5) ml/s;in TURP+TUIBN group,IPSS from(25.5±3.0) to(9.3±1.6),Qmax from(9.1±3.8) ml/s to(16.8±4.2) ml/s.There was not significant difference in IPSS,Qmax between 3 groups before operation(P0.05),but there was after operation(P0.05).TURP+TUIBN group was significantly different from groups SPP,TURP in IPSS,Qmax after operation(P0.01).Conclusion TURP+TUIBN,which has satisfactory effects,with smaller traumas,less pain,rapid recovery in treatment of BPH-caused bladder outlet obstruction,is an ideal treatment.