経尿道的膀胱憩室切開凝固術による根治性および臨床効果

概要

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6症例8膀胱憩室に対して施行した。1)1例は経尿道的前立腺切除術を,1例は経尿道的膀胱砕石術を併用した。2)手術時間は1憩室当り平均32分で,手術による合併症は認められなかった。3)憩室の縮小率は62～100%で,全憩室は縮小し1憩室は消失したが,7憩室は残存した。4)膀胱憩室による症状を術後に認めたものは1例もなかったWe performed transurethral incision and fulguration of the bladder diverticulum (TUIFBD) for 8 diverticula in 6 patients. In combination with TUIFBD, one patient received transurethral resection of the prostate and another one transurethral lithotripsy of bladder stones. TUIFBD has been easily performed without any operative complications. All 8 diverticula had shrunken from one to two months after the operation but only one diverticulum had disappeared. Symptoms related to the bladder diverticulum had disappeared postoperatively in all cases. In conclusion, TUIFBD can be easily and safely performed in combination with other transurethral surgical procedures. TUIFBD may be insufficient for radicality, but is clinically effective.