Effect of Indwelling Catheter Under Ureteroscope on Benign Prostatic Hyperplasia with Urinary Retention

LONG Zongmin

doi:10.13919/j.issn.2095-6274.ZHJY202410006

Abstract：Objective To compare the clinical efficacy of ureteroscopic catheterization and suprapubic cys-tostomy in the treatment of acute urinary retention due to benign prostatic hyperplasia (BPH) in patients who failed emergency catheterization. Methods A retrospective study was conducted on 60 patients with BPH and urinary retention who failed emergency catheterization and were admitted to Zunyi First People's Hospital from February 2020 to January 2024. Patients were divided into an observation group (n=30,receiving ureteroscopic catheteriza-tion) and a control group (n=30,receiving suprapubic cystostomy) based on treatment protocol. Clinical efficacy,surgery time,quality of life (QOL),urinary function,pain level,and postoperative complications were compared between the two groups. Results The overall clinical efficacy rate in the observation group was 100％,signif-icantly higher than the control group's 66.67％ (P<0.05). However,surgery time was significantly longer in the observation group compared to the control group (P<0.05). Preoperative QOL scores,dysfunctional voiding symp-tom scores (DVSS),and visual analogue scale (VAS) pain scores showed no significant differences between the two groups (P>0.05). Postoperatively,the QOL scores in the observation group were significantly higher than those in the control group (P<0.001),while DVSS and VAS scores were significantly lower (P<0.001). The incidence of postoperative complications in the observation group was also significantly lower than that in the control group (P<0.05). Conclusion Although ureteroscopic catheterization requires longer operation time,it markedly im-proves the quality of life and urinary function in patients with BPH and urinary retention who fail emergency cathe-terization,reduces postoperative pain,and lowers the risk of complications,confirming its clinical efficacy.