Journal of Hebei Medical University

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A comparative study of the effect of transurethral bipolar plasmakinetic prostatectomy and transurethral plasmakinetic prostatectomy in the treatment of benign prostatic hyperplasia

  

  1. 1.Department of Urology, Staff Hospital of Handan Iron and Steel Group Limited Company, Handan
    056001, China; 2.Department of General Surgery, Staff Hospital of Handan Iron and Steel Group
    Limited Company, Handan  056001, China; 3.Department of Urology, the Second Hospital of
    Hebei Medical University, Shijiazhuang  050000, China
  • Online:2020-05-25 Published:2020-06-04

Abstract: [Abstract]Objective〖HTSS〗To investigate the efficacy of transurethral bipolar plasmakinetic enucleation and resection of the prostate(PKERP) and transurethral plasmakinetic resection of the prostate(PKRP) in the treatment of benign prostatic hyperplasia(BPH).
〖WTHZ〗Methods〖HTSS〗The clinical data of 89 patients with BPH were retrospectively analyzed. They were divided into PEKRP group(40 cases) and PKRP group(49 cases) according to different surgical methods. The preoperative, perioperative and postoperative follow-up data of the 2 groups were compared.
〖WTHZ〗Results〖HTSS〗The operation time, postoperative catheter retention time and hospitalization time of the PKERP group were shorter than those of the PKRP group, and the decrease in hemoglobin was less than that of the PKRP groupP<0.01). There was no significant difference in the incidence of complications between two groups(P>0.05). There was no significant difference in the IPSS score, QOL score and maximum urinary flow rate between two groups before and after surgery(P>0.05). The postoperative IPSS score and QOL score in two groups were lower than those before the operation, and the maximum urine flow rate was greater than that before the operation(P<0.05).
〖WTHZ〗Conclusion〖HTSS〗Both PKERP and PKRP can effectively improve the urination symptoms of patients. The incidence of complications is similar. PKERP is superior to PKRP in terms of operation time, hemoglobin reduction, postoperative urinary catheter retention time, and hospitalization time.

Key words: prostatic hyperplasia, transurethral resection of the prostate, treatment outcome