Simultaneous surgical management of Benign prostatic hyperplasia and bladder tumor.

Objective To evaluate the efficacy and safety of simultaneous transurethral resection for patients with benign prostatic hyperplasia(BPH) and bladder transitional cell carcinoma.Methods 35 patients with bladder transitional cell carcinoma and BPH were treated by transurethral plasmakinetic resection at the same time.All patients were follewed up.Results No transurethral resection syndrome occurred in those patients.The peak flow rate increased from(5.6 ±3.4) mL / s to((15.2 ±3.8)) mL / s,the international prostate symptom score(IPSS) decreased from(23.6±7.2) to(10.1±0.9) at postoperative 6 months respectively and made differnce P0.05.The patients were followed up ranged from 6 ~ 50 months.3 cases showed rucurent bladder tumors.Conclusion Transurethral plasmakinetic resection simultaneous is safe and effective for the patients with bladder tumor coexisting BPH,while no effect on incidence of implantation in bladder neck and prostatic fossa.