Transurethral water vapour thermal therapy for benign prostatic hyperplasia under local anaesthesia alone: initial experience in Chinese patients.

IF 3.1 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL Hong Kong Medical Journal Pub Date : 2024-06-01 Epub Date: 2024-05-10 DOI:10.12809/hkmj2210330
K L Lo, A Mok, I C H Ko, S K K Yuen, P K F Chiu, C F Ng
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Abstract

Introduction: This study evaluated the perioperative and early postoperative outcomes of transurethral water vapour thermal therapy (WVTT) under local anaesthesia alone for benign prostatic enlargement in Chinese patients.

Methods: This retrospective review of transurethral WVTT for benign prostatic enlargement focused on 50 Chinese patients who exhibited clinical indications (acute retention of urine or symptomatic lower urinary tract symptoms due to benign prostatic enlargement) for surgical treatment between June 2020 and December 2021 in Hong Kong. Exclusion criteria included active urinary tract problems and urological malignancies. Follow-up was conducted at 3 months postoperatively.

Results: The median patient age was 71.5 years. The mean preoperative prostatic volume was 56.7 mL. The mean operation time was 25.1 minutes. All procedures were performed under local anaesthesia alone. The mean pain scores for transrectal ultrasound probe insertion, transperineal local anaesthesia injection, and transurethral WVTT were 2, 5, and 4, respectively. Forty-nine patients (98%) were discharged on the same day with a urethral catheter. Forty-eight patients (96%) successfully completed a trial without catheter within 3 weeks postoperatively. Five patients (10%) had unplanned hospital admission within 30 days postoperatively due to surgical complications (Clavien-Dindo grade 1).

Conclusion: Transurethral WVTT, an advanced surgical treatment for benign prostatic enlargement, is a safe procedure that relieves lower urinary tract symptoms with minimal hospital stay. It can be performed in an office-based setting under local anaesthesia, maximising utilisation of the surgical theatre.

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单纯局部麻醉下经尿道水蒸气热疗治疗良性前列腺增生症:中国患者的初步经验。
简介:本研究评估了中国良性前列腺增生患者在局部麻醉下单纯经尿道水蒸气热疗(WVTT)的围手术期和术后早期疗效:这项关于经尿道水蒸气热疗治疗良性前列腺增生的回顾性研究主要针对2020年6月至2021年12月期间在香港接受手术治疗的50名具有临床指征(良性前列腺增生引起的急性尿潴留或无症状下尿路症状)的中国患者。排除标准包括活动性泌尿系统问题和泌尿系统恶性肿瘤。术后 3 个月进行随访:患者年龄中位数为 71.5 岁。结果:患者年龄中位数为 71.5 岁,术前前列腺体积平均为 56.7 毫升。平均手术时间为 25.1 分钟。所有手术均在局部麻醉下进行。经直肠超声探头插入、经会阴局部麻醉注射和经尿道前列腺电切术的平均疼痛评分分别为 2 分、5 分和 4 分。49名患者(98%)当天带着尿道导管出院。48名患者(96%)在术后3周内成功完成了无导尿管试验。5名患者(10%)在术后30天内因手术并发症(Clavien-Dindo 1级)意外入院:结论:经尿道前列腺电切术是治疗良性前列腺增生的一种先进手术方法,它是一种安全的手术,能缓解下尿路症状,且住院时间最短。该手术可在局部麻醉的情况下在办公室进行,最大限度地利用了手术室。
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来源期刊
Hong Kong Medical Journal
Hong Kong Medical Journal MEDICINE, GENERAL & INTERNAL-
CiteScore
1.50
自引率
14.80%
发文量
117
审稿时长
10 weeks
期刊介绍: The HKMJ is a Hong Kong-based, peer-reviewed, general medical journal which is circulated to 6000 readers, including all members of the HKMA and Fellows of the HKAM. The HKMJ publishes original research papers, review articles, medical practice papers, case reports, editorials, commentaries, book reviews, and letters to the Editor. Topics of interest include all subjects that relate to clinical practice and research in all branches of medicine. The HKMJ welcomes manuscripts from authors, but usually solicits reviews. Proposals for review papers can be sent to the Managing Editor directly. Please refer to the contact information of the Editorial Office.
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