Preservation of 12 o'clock position urethral mucosa in transurethral enucleation of the prostate reduced incontinence rate in patients with benign prostate hyperplasia
Liu Shangwen
Wang Yadong
Lin Feng
Abstract：Objective:To evaluate the therapeutic effect of 12 o'clock position urethral mucosa preservation in transurethral enucleation of the prostate for treatment of patients with benign prostate hyperplasia.Methods:354 patients with benign prostate hyperplasia underwent transurethral enucleation of the prostate.196 patients were given complete enucleation of the prostate and urethral mucosa,and 158 patients were subjected to preservation of 12 o'clock position urethral mucosa and anterior fibromuscular stroma during the operation.The patients were fol-lowed up for 6 months to evaluate the peak flow rate,post-void residual urine volume,and International Prostate Symptom Score before and after operation,respectively.Incontinence rate was evaluated weekly from 24 h to 6 months after surgery.Results:The symptom of lower urinary tract obstruction was improved obviously after sur-gery in both groups.There were no significant differences in the peak flow rate,post-void residual urine volume, and International Prostate Symptom Score between two groups during the follow-up period.The incontinence rate was lower in patients with preservation of 12 o'clock position urethral mucosa during the operation than in those undergoing complete enucleation of the prostate and urethral mucosa.Conclusions:Preservation of 12 o'clock posi-tion urethral mucosa in transurethral enucleation of the prostate can alleviate the low tract obstruction symptom and reduce incontinence rate in patients with benign prostate hyperplasia.
Keywords：benign prostate hyperplasiatransurethral enucleation of prostateincontinence
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 41-44 )