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Explore: The Value of Prostatic Calculi in Prostate Surgery

Received: 9 October 2019     Accepted: 11 December 2019     Published: 24 March 2020
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Abstract

Objective To explore the significance of prostatic calculi in prostate surgery. Methods During the beginning of 2010 to the end of 2017, a retrospective analysis was made of 821 cases of benign prostatic hyperplasia (BPH) with prostatic calculi admitted to our hospital. During 2010 to 2015, transurethral resection of the prostate (TURP) was performed. And then, from 2015 to 2017, it was replaced as transurethral laser vaporization of the prostate (TULVP). There were 5 converted to open. We should remove the prostate tissue til the surgical capsule by electrocision or vaporization. If annular fibrous tissue or prostatic calculi are encountered during the operation, the calculi will be exfoliated, and then stop operation. Results All the operations were successfully completed, with an average times of 47 minutes (22-117 minutes), bleeding of 50ml (15-350 ml), indwelling catheter for 5.7 days (3-10 days), and continuous bladder irrigation for 1.3 days (1-5 days). During the follow-up period of 0.4-5 years, the urination symptoms and quality of life of the post-operation patients were significantly improved. Conclusions Prostate calculi can be used as a marker of the depth of operation for BPH.

Published in International Journal of Clinical Urology (Volume 4, Issue 1)
DOI 10.11648/j.ijcu.20200401.15
Page(s) 21-24
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Prostate Calculi, 1470 nm Laser, TURP, TULVP, Operative Sign

References
[1] Xiao CQ, Hu JB, Deng JH, et al. Transurethral resection of prostate in 390 high-risk patients with benign prostatic hyperplasia [J]. Acad J Guangzhou Med U, 2015, 43 (5): 56-58. DOI: 10.3969/j.issn.2095-9664.2015.05.014.
[2] Tang ZG, Liang ZZ, Zhang YB, et al. Analysis of quality of life of patients with benign prostatic hyperplasia and its related influencing factors [J]. Chin J Clin (Electron), 2015, 13 (11): 2623-2626.
[3] Liu YC, Chen ZX, Pan X, et al. TURP for Treatment of High Risk Benign Prostatic Hyperplasia: A Report of 112 Cases [J]. Guid Chin Med, 2014, 12 (12): 31. 32.
[4] Zhao GX, Fu B, Wang HM, et al. The incidence of prostate stones in a city 4323 patients [J]. Guid Chin Med, 2012. 10 (18): 567-569.
[5] Fu Q, Wang FC, Guan LY. Clinical prostatology [M]. Ji Nan: Shangdong Science and Technology Press, 2008: 236-237.
[6] Qi HY, Zhu H. New progress in basic research and diagnosis and treatment of prostate diseases [M]. Beijing: People's Medical Publishing House, 2009: 193-196.
[7] Shen XC, Yang J, Rao XC, et al. Culture and morphological identification of nanobacteria from prostatic calculus [J]. Acta Acad Med Mil Terti, 2008, 30 (12): 1122-1124.
[8] Zhen F, Liu YH. Ultrasonographic characteristics of prostate stones in different age groups were observed and analyzed [J]. J Sourtheast Chin Nat Defence Med Sci, 2005, 7 (3): 204-205.
[9] Zhang YH, Shao Q. Prostate surgery [M]. Beijing: People's Medical Publishing House, 2001. 474-475.
[10] Liu W, Zhong HL, Chen J, et al. A discussion on signs of a proper depth of ablation during transurethral electrovaporization of the prostate [J]. Chin J Minim Invas Surg, 2005, 5 (7): 572-573.
[11] Sharma Ashish, Garg Gaurav, Sinha Rahul Janak, Singh Vishwajeet. Posterior urethral valve presenting with impacted prostatic urethral calculus: a diagnostic challenge [J]. BMJ case reports, 2018, 2018.
[12] Shen XC, Yang J, Rao XC, et al. Nanobacteria: isolation from prostatic calculus and identification of its 16S rRNA gene [J]. Acta Acad Med Mil Terti, 2008 (02): 124-126.
[13] Lee Young Ju, Oh Seung-June. Calculi in the Prostatic Surgical Bed as a complication after Holmium Laser Enucleation of the Prostate [J]. Urol J, 2018. DOI: 10.22037/uj.v0i0.3965.
[14] Liu SW, Wang YD, Lin F. Preservation of 12o'clock position urethral mucosa in transurethral enucleation of the prostate reduced incontinence rate in patients with benign prostate hyperplasia [J]. J Minimal Invas Urol, 2018, 7 (01), 41-44. DOI: 10.19558/j.cnki.10-1020/r.2018.01.010.
[15] Sun JH. Comparative analysis of the efficacy and safety of transurethral laser vaporization of prostate 1470 and transurethral plasma resection of prostate in the treatment of BPH [J]. Cap food med, 2019, 26 (14): 46.
[16] Erika LK, Santiago GV, Gloria D, et al. Robot-assisted Radical Prostatectomy Due to a Primary Carcinoid Prostatic Tumor in a Three-Year-Old Child: A Case Report [J]. Urology, 2019, 133. DOI: 10.1016/j.urology.2019.08.006.
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  • APA Style

    Xiao Chuan, Li Luhong, Wang Yong, Yi Zhengjin, Liu Xiangyu, et al. (2020). Explore: The Value of Prostatic Calculi in Prostate Surgery. International Journal of Clinical Urology, 4(1), 21-24. https://doi.org/10.11648/j.ijcu.20200401.15

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    ACS Style

    Xiao Chuan; Li Luhong; Wang Yong; Yi Zhengjin; Liu Xiangyu, et al. Explore: The Value of Prostatic Calculi in Prostate Surgery. Int. J. Clin. Urol. 2020, 4(1), 21-24. doi: 10.11648/j.ijcu.20200401.15

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    AMA Style

    Xiao Chuan, Li Luhong, Wang Yong, Yi Zhengjin, Liu Xiangyu, et al. Explore: The Value of Prostatic Calculi in Prostate Surgery. Int J Clin Urol. 2020;4(1):21-24. doi: 10.11648/j.ijcu.20200401.15

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  • @article{10.11648/j.ijcu.20200401.15,
      author = {Xiao Chuan and Li Luhong and Wang Yong and Yi Zhengjin and Liu Xiangyu and Li Suqiong and Cao Jingzhao and Tang Ruipeng and Li Xin and Wan Li},
      title = {Explore: The Value of Prostatic Calculi in Prostate Surgery},
      journal = {International Journal of Clinical Urology},
      volume = {4},
      number = {1},
      pages = {21-24},
      doi = {10.11648/j.ijcu.20200401.15},
      url = {https://doi.org/10.11648/j.ijcu.20200401.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20200401.15},
      abstract = {Objective To explore the significance of prostatic calculi in prostate surgery. Methods During the beginning of 2010 to the end of 2017, a retrospective analysis was made of 821 cases of benign prostatic hyperplasia (BPH) with prostatic calculi admitted to our hospital. During 2010 to 2015, transurethral resection of the prostate (TURP) was performed. And then, from 2015 to 2017, it was replaced as transurethral laser vaporization of the prostate (TULVP). There were 5 converted to open. We should remove the prostate tissue til the surgical capsule by electrocision or vaporization. If annular fibrous tissue or prostatic calculi are encountered during the operation, the calculi will be exfoliated, and then stop operation. Results All the operations were successfully completed, with an average times of 47 minutes (22-117 minutes), bleeding of 50ml (15-350 ml), indwelling catheter for 5.7 days (3-10 days), and continuous bladder irrigation for 1.3 days (1-5 days). During the follow-up period of 0.4-5 years, the urination symptoms and quality of life of the post-operation patients were significantly improved. Conclusions Prostate calculi can be used as a marker of the depth of operation for BPH.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Explore: The Value of Prostatic Calculi in Prostate Surgery
    AU  - Xiao Chuan
    AU  - Li Luhong
    AU  - Wang Yong
    AU  - Yi Zhengjin
    AU  - Liu Xiangyu
    AU  - Li Suqiong
    AU  - Cao Jingzhao
    AU  - Tang Ruipeng
    AU  - Li Xin
    AU  - Wan Li
    Y1  - 2020/03/24
    PY  - 2020
    N1  - https://doi.org/10.11648/j.ijcu.20200401.15
    DO  - 10.11648/j.ijcu.20200401.15
    T2  - International Journal of Clinical Urology
    JF  - International Journal of Clinical Urology
    JO  - International Journal of Clinical Urology
    SP  - 21
    EP  - 24
    PB  - Science Publishing Group
    SN  - 2640-1355
    UR  - https://doi.org/10.11648/j.ijcu.20200401.15
    AB  - Objective To explore the significance of prostatic calculi in prostate surgery. Methods During the beginning of 2010 to the end of 2017, a retrospective analysis was made of 821 cases of benign prostatic hyperplasia (BPH) with prostatic calculi admitted to our hospital. During 2010 to 2015, transurethral resection of the prostate (TURP) was performed. And then, from 2015 to 2017, it was replaced as transurethral laser vaporization of the prostate (TULVP). There were 5 converted to open. We should remove the prostate tissue til the surgical capsule by electrocision or vaporization. If annular fibrous tissue or prostatic calculi are encountered during the operation, the calculi will be exfoliated, and then stop operation. Results All the operations were successfully completed, with an average times of 47 minutes (22-117 minutes), bleeding of 50ml (15-350 ml), indwelling catheter for 5.7 days (3-10 days), and continuous bladder irrigation for 1.3 days (1-5 days). During the follow-up period of 0.4-5 years, the urination symptoms and quality of life of the post-operation patients were significantly improved. Conclusions Prostate calculi can be used as a marker of the depth of operation for BPH.
    VL  - 4
    IS  - 1
    ER  - 

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Author Information
  • Department of Urology, Pangang Group General Hospital, Panzhihua, China

  • Department of Urology, Pangang Group General Hospital, Panzhihua, China

  • Department of Urology, Pangang Group General Hospital, Panzhihua, China

  • Department of Urology, Pangang Group General Hospital, Panzhihua, China

  • Department of Urology, Pangang Group General Hospital, Panzhihua, China

  • Department of Urology, Pangang Group General Hospital, Panzhihua, China

  • Department of Urology, Pangang Group General Hospital, Panzhihua, China

  • Department of Urology, Pangang Group General Hospital, Panzhihua, China

  • Department of Urology, Pangang Group General Hospital, Panzhihua, China

  • Department of Urology, Pangang Group General Hospital, Panzhihua, China

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