Effects of synchronous minimally invasive surgery on prostate symptoms and sexual function in patients with benign prostatic hyperplasia and ureteral calculus
Abstract：Objective To study the effects of synchronous minimally invasive surgery on prostate symptoms and sexual function in patients with benign prostatic hyperplasia (BPH) and ureteral calculus (UC).Methods The cases of 134 patients with BPH and UC treated in the hospital from January 2018 to May 2020 were retrospectively analyzed. According to different surgical methods, they were divided into group A (synchronous minimally invasive surgery, 64 cases) and group B (staged minimally invasive surgery, 70 cases). The surgical situations, urodynamic parameters [maximum urine flow rate (MFR), residual urine volume (RUV), maximum bladder manometric capacity (MCC)], score of international prostate symptom scale (IPSS), recovery of sexual function and incidence of postoperative complications were compared between the two groups.Results There was no significant difference in total operation time, total intraoperative blood loss, success rate of lithotripsy or prostatectomy volume between the two groups (all P>0.05). The total time of postoperative catheter indwelling and total hospitalization time in group A were shorter than those in group B (all P<0.05). They were followed up till 3 months after surgery. The differences in MFR, RUV, MCC, IPSS score, sexual function recovery and incidence of postoperative complications between the two groups were not statistically significant (all P>0.05).Conclusions There is no significant difference in the curative effect or occurrence of postoperative complications in patients with BPH and UC treated with synchronous or staged minimally invasive surgery. However, indwelling time of catheter and hospitalization time are shorter in patients undergoing synchronous minimally invasive surgery.
