关键词: 经尿道钬激光逆行前列腺剜除术, 良性前列腺增生, 膀胱切开术, 膀胱结石

Abstract: 【Abstract】 Objective To evaluate the therapeutic efficacy of holmium laser enucleation of prostate combined with cystotomy in the treatment of benign prostatic hyperplasia combined with cystic calculus. Methods〓Between May 2010 and June 2014, 63 patients of benign prostatic hyperplasia combined with cystic calculus treated with retrograde holmium laser enucleation of prostate and cystotomy were retrospectively reviewed..The enucleated glands were pushed into the bladder retrogradely and were taken out by cystotomy together with the cystic calculus. Results〓All the operations were successfully finished. The operation time of Holmium laser enucleation was 65±25.2 (range from 30 to 110) minutes, The operation time of cyctotomy was 13±8.7 (range from 10 to 25) minutes. No blood transfusion was needed, none of the 63 patients showed intraoperative and postoperative transurethral resection syndrome, bladder perforation, residual stones, urethral stricture or other complicat-ions. Catheters were removed in 1 to 3 days after the operation. IPSS (international prostate symptom scores) decreased from 25.4±2.3 to 8.5±2.1. Qmax increased from 7.8±3.4 to 14.2±2.6. Conclusion The retrograde holmium laser enucleation of prostate and cystotomy in the treatment of benign prostatic hyperplasia combined with cystic calculus is safe and effective.

Key words: Retrograde holmium laser enucleation of prostate, BPH, Cystotomy, Cystic calculus