A Comparative Study on the Incidence of Postoperative Bladder Spasms Following Transurethral Prostate Thulium Laser Resection and Transurethral Prostate Resection
Liu Xiaoyu
Li Kai
Li Rui
Zhang Yantao
Mei Yanhui
Abstract：Objective:To compare the incidence of postoperative bladder spasms following Transurethral Pros-tate Thulium Laser Enucleation(ThuLEP)and Transurethral Resection of the Prostate(TURP).Methods:A retro-spective analysis was conducted on 296 patients with benign prostatic hyperplasia who underwent minimally invasive surgery at the Affiliated Hospital of Binzhou Medical University between January 2023 and January 2024.There were 162 patients in the ThuLEP group and 134 in the TURP group.The age[(68.79±6.33)years vs.(67.98±6.55)years,P=0.280],body mass index(BMI)[(25.26±4.82)kg/m2 vs.(24.87±4.92)kg/m2,P=0.489],and prostate volume[(75.45±11.54)ml vs.(74.39±11.66)ml,P=0.433]did not differ significantly between the two groups.Postoperative bladder spasm frequency,the longest duration of a single spasm,spasm severity,catheter blockage events,and the need for clinical intervention for bladder spasms were compared between the two groups.Surgical pa-rameters were also analyzed.i Results:All surgeries were successfully completed.The frequency of bladder spasms[(2.64±0.69)vs.(5.39±1.24)],the longest duration of a single spasm[(7.88±1.69)in vs.(19.23±5.97)in],the highest visual analogue scale(VAS)score for bladder spasms[(2.89±0.85)vs.(7.04±1.25)],catheter blockage events[1(0,2)vs.1 1,2)],and the frequency of clinical intervention for bladder spasms[2(0,2)vs.5(4,6)]all showed significant differences P<0.01).The total surgical time[(62.24±12.36)min vs.(90.23±16.23)min],intra-operative blood loss[(63.28±12.73)ml vs.(97.38±22.31)ml],catheterization duration[(3.87±0.77)days vs.(5.85±1.57)days],and bladder irrigation time[(20.36±4.22)hours vs.(48.36±8.59)hours]also showed signifi-cant differences(P<0.01).Conclusion:ThuLEP significantly reduces the frequency,duration,and severity of post-operative bladder spasms compared to TURP,likely due to the superior surgical outcomes associated with ThuLEP.
Keywords：prostatic hyperplasiabladder spasmthulium laserprostatectomytransurethral resection of the prostate
Publication Date：2025-02-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 20-24 )