Comparative Study on Transurethral Plasmakinetic Enucleation of Prostate and Transurethral Resection of Prostate

NING Jinzhuo; JIANG Shuchuan; ZHUO Dong; WANG Yuqing

Abstract：Objective To compare the curative effect and the safety of transurethral plasmakinetic enucleation of prostate and transurethral resection of prostate in the treatment of BPH (Benign Prostate Hyperplasia). Methods The differences of the two differ-ent gland removal surgeries in terms of preoperative and postoperative IPSS, QOL, urine flow rate and residual urine were procured, the relationship between the removal volume of prostate and blood loss during the surgery was confirmed, and the differences of postop-erative IPSS, QOL, maximum urine low rate, residual urine, the time of the removal of the catheter and the time of bladder irrigation between the two surgeries were compared, so as to fully understand and estimate the advantages and disadvantages of the ways of sur-gery. Results 60 patients with BPH who met the experimental conditions were divided into two groups, 30 patients in each group. It was founded that the differences between preoperative and postoperative IPSS, QOL, maximum urine flow rate of Group PKRP and Group PKEP was statistically significant (P<0. 01). The difference in the removal volume of prostate and blood loss during the surgery was statistically significant (P<0. 05). The difference of postoperative maximum urine flow rate, the time of the removal of the catheter and the time of bladder irrigation between the two groups were statistically significant (P<0. 05). The difference of operation time, postoperative IPSS, QOL, residual urine, and complications between the groups was not statistically significant (P>0. 05). Conclu-sion The two surgical methods have good results in the treatment of benign prostatic hyperplasia. By comparison, transurethral plas-makinetic enucleation of prostate earns its advantage over transurethral resection of prostate in the removal volume of prostate and blood loss during the surgery, postoperative maximum urine flow rate, the time of the removal of the catheter and the time of bladder irriga-tion, which is safer and bears more popularizing value.