Risk factors for bladder calculi in patients with benign prostatic hyperplasia
作者单位：Department of UrologyThe First Affiliated HospitalZhejiang University School of Medicine
会议名称：《第十二次全国中西医结合男科学术大会暨全国中西医结合男科诊疗技术研修班暨2017上海市中西医结合学会上海市中医药学会泌尿男科专业委员会学术年会》
会议日期：2017年
学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
关 键 词：bladder calculi benign prostatic hyperplasia intravesical prostatic protrusion urine culture urinary retention
摘 要：Background and objective:Bladder calculi is not only a common complication of benign prostatic hyperplasia(BPH) but also an absolute indication for surgical therapy of patients with *** aim to investigate the risk factors for bladder calculi in patients with BPH and to reduce the surgical intervention related to bladder *** and Methods:Between January 2015 and October 2016,332 patients with BPH underwent surgical therapy were retrospectively *** with BPH were categorized into two groups:94 patients with bladder calculi in group 1 and 238 patients without bladder calculi in group *** history,age,body mass index(BMI),total prostate specific antigen(PSA),total prostate volume(TPV),International Prostate Symptom Score(IPSS),intravesical prostatic protrusion(IPP),urodynamic parameters and urine culture were compared between ***:There was no significant difference in the age,BMI,peak flow rate or IPSS between ***,total PSA and duration of BPH were significantly lower in group 1 than those in group *** addition,IPP was significantly higher in group 1 than group 2(p0.001).Besides,after exclusion of patients with urinary retention and indwelling catheter,group 1 associated with a significantly higher preoperative positive rate of urine culture than that of group 2(p=0.046).Multivariate analysis indicated that IPP was a significant independent risk factor for the presence of bladder ***:This study revealed that the preoperative positive urine culture and IPP maybe are risk factors for bladder calculi in patients with benign prostatic hyperplasia.