title: [Transurethral enucleation plus pneumo-cystostomy rotary cut for large benign prostatic hyperplasia].
abstract: OBJECTIVE
  To investigate the feasibility, effectiveness and practicability of transurethral enucleation plus pneumocystostomy rotary cut (TUE + PCRC) for large benign prostatic hyperplasia (BPH).
  
  
  METHODS
  We performed TUE + PCRC for 26 BPH patients aged 62 - 85 years with the prostate volume of 80 - 165 ml. We conducted transurethral enucleation of the hyperplastic prostate glands and pushed them into the bladder, followed by bladder puncture for pneumo-cystostomy rotary cut.
  
  
  RESULTS
  All the surgical procedures were successfully accomplished, with the mean surgical time of 41 (32 - 54) minutes and intraoperative blood loss < 60 ml in all the cases. Twenty-three of the patients were followed up for 2 - 8 months, which revealed no stricture of the urethra or any other severe complications. Compared with the preoperative baseline, significant improvement was achieved in the IPSS (6.5 +/- 2.2 vs 26.2 +/- 2.4), QOL (1.4 +/- 0.9 vs 4.6 +/- 1.2) and Qmax ([5.8 +/- 1.0 ] vs [19.6 +/- 2.8] ml/s) of the patients after surgery (P < 0.01).
  
  
  CONCLUSIONS
  TUE + PCRC, with its advantages of short operation time and less severe complications, is a safe and effective approach to the management of large BPH.
authors.forename: Yan-Xin
authors.initials: YX
authors.lastname: Dong
authors.forename: Yang
authors.initials: Y
authors.lastname: Wu
authors.forename: Rui
authors.initials: R
authors.lastname: Zeng
authors.forename: Jun-Chang
authors.initials: JC
authors.lastname: Yang
authors.forename: Xiao-Kang
authors.initials: XK
authors.lastname: Gao
authors.forename: Ming-De
authors.initials: MD
authors.lastname: Zhu
authors.forename: Shuang-Jin
authors.initials: SJ
authors.lastname: Huo
authors.forename: Dong
authors.initials: D
authors.lastname: Li
authors.lastname: Niguti
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D006801:Humans; D008297:Male; D008875:Middle Aged; D011470:Prostatic Hyperplasia / Q000601:surgery*; D020728:Transurethral Resection of Prostate / Q000379:methods*