摘要
Abstract
Objective:To investigate the high risk factors of urethral stenosis in patients with benign prostatic hyperplasia(BPH)treated by minimally invasive surgery.Method:The clinical data of 85 BPH patients admitted to Shougang Shuigang Hospital from August 2021 to August 2023 were retrospectively analyzed.All patients underwent transurethral resection of prostate(TURP)and they were divided into urethral stenosis group(n=19)and non-urethral stenosis group(n=66)according to whether urethral stenosis occurred after surgery.Various basic data including age,disease course,operation time,postoperative indentured catheter time,combined with hypertension,combined with diabetes,combined with urinary tract infection,prostate volume,intraoperative blood loss,postoperative bladder irrigation time,continuous traction balloon catheter time,intraoperative urethral dilation were collected in the two groups.Univariate analysis was performed first,followed by logistic regression analysis.To obtain the risk factors affecting urethral stricture after minimally invasive surgery in BPH patients.Result:There were 19 cases of urethral stricture in 85 patients,the incidence was 22.35%(19/85).The proportion of patients with operation time≥70 min,postoperative indentured catheter time≥7 d,combined with diabetes,combined with urinary tract infection,prostate volume≥70 mL,continuous traction balloon catheter time≥15 h,intraoperative urethral dilation in urethral stricture group were higher than those in non-urethral stricture group,the differences were statistically significant(P<0.05).Multifactor analysis showed that operation time≥70 min,postoperative indentured catheter time≥7 d,combined with diabetes,combined with urinary tract infection,prostate volume≥70 mL,continuous tractive balloon catheter time≥15 h,and intraoperative urethral dilation were the risk factors for urethral stenosis after minimally invasive surgery in BPH patients(P<0.05).Conclusion:The occurrence of urethral stenosis after minimally invasive surgery in BPH patients is closely related to the operation time,postoperative indentured catheter time,combined with diabetes,combined with urinary tract infection,prostate volume,continuous traction balloon catheter time,and intraoperative urethral dilation.Intervention measures should be taken to reduce the risk of urethral stenosis.关键词
良性前列腺增生/微创手术/尿道狭窄/高危因素/干预措施Key words
Benign prostatic hyperplasia/Minimally invasive surgery/Urethral stricture/High risk factors/Intervention measures
