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Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:

2021 02

Page:

276-279

Research Field:

Publishing date:

Info

Title:

Comparison of urinary and erectile function between nsELRP and TVSSLRP in the treatment of postoperative patients with low-risk prostate cancer

Author(s):

BAI Bing¹; YANG Jing²

1.Department of Urology,Henan General Hospital of the Chinese People’s Armed Police Force,Henan Zhengzhou 450000,China;2.Department of Internal Medicine,Henan Electric Power Hospital,Henan Zhoukou 450006,China.

Keywords:

nsELRP; TVSSLRP; low-risk prostate cancer; urinary function; erectile function

PACS:

R737.25

DOI:

10.3969/j.issn.1672-4992.2021.02.020

Abstract:

Objective:To compare the urinary and erectile function of patients undergoing low-risk prostate cancer after laparoscopic radical prostatectomy (nsELRP) and transurethral single-port laparoscopic radical prostatectomy (TVSSLRP).Methods:A randomized controlled trial of 80 patients with low-risk prostate cancer admitted to our hospital from December 2016 to May 2018 was performed.The patients were divided into nsELRP group and TVSSLRP group by random number table method,and extraperitoneal route was used in nsELRP group.Laparoscopic radical prostatectomy was performed.Patients in the TVSSLRP group underwent transurethral single-port laparoscopic radical prostatectomy.The intraoperative parameters of the two groups were compared.The urinary rate,erectile function recovery rate and PBI before and after surgery,sponge blood flow velocity were compared at different time points.Results:The operation time and intraoperative blood loss of the TVSSLRP group were significantly lower than those of the nsELRP group.On the day of removal of the urinary catheter,1 month and 3 months after surgery,the urinary rate of the TVSSLRP group was significantly higher than that of the nsELRP group (P＜0.05).There was no significant difference between the two groups in 6 months after operation (P＞0.05).3 and 6 months after operation,the recovery rate of erectile function in the TVSSLRP group was significantly higher than that in the nsELRP group (P＜0.05).There was no significant difference in erectile functional recovery rate between the two groups in 1 month after operation (P＞0.05).There was no significant difference in PBI and cavernous blood flow velocity between the two groups before and after operation (P＞0.05).Conclusion:TVSSLRP in the treatment of low-risk prostate cancer,compared with nsELRP,can effectively reduce the operation time and intraoperative blood loss,improve the postoperative urinary function and erectile function,and has greater application value and clinical significance.

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