To analyze the effect of transurethral enucleation prostate combined with transumbilical prostatectomy in the treatment of large volume benign prostatic hyperplasia.

110 patients with large volume benign prostatic hyperplasia (>100 ml) admitted to our hospital from January, 2015 to January, 2018 were divided into observation group and control group according to operation method. There was no significant difference in baseline data (age, course of disease and volume of prostate) between the two groups (P>0.05). The observation group were treated with enucleation of the prostate combined with transvesical prostatectomy resection of the umbilicus of the prostate. The control group were treated with transvesical resection of the prostate. The perioperative general conditions, intraoperative and postoperative complications were compared between the two groups. The incidence of urinary incontinence was compared in 24 hours after extubation, 1 week and 2 weeks after operation.

Compared with the control group, the blood loss [(61±26) ml vs (90±33) ml], operation time [(63±16) min vs (80±20) min], indwelling time of catheter [(36±7) h vs (80±10) h], bladder irrigation time [(13±3) h vs (23±3) h] of the observation group were significantly reduced (all P?0.05), and tissue acquisition was increased (P?0.05). There was no significant difference in the incidence of intraoperative and postoperative complications between the two groups (P>0.05). There was no significant difference in the incidence of incontinence after removal of the catheter between the two groups in 24 hours, 1 week and 2 weeks after operation (P>0.05).

Transurethral prostatectomy combined with transvesical prostatectomy in the treatment of large volume benign prostatic hyperplasia has shorter operation time, less bleeding during operation and after operation. And it has fewer complications, safe and feasible.