Comparison of the short-term curative effects of HoLEP vs PKEP in treatment of benign prostatic hyperplasia
Abstract：Objective To compare the short-term curative effects of holmium laser enucleation of the prostate ( Ho LEP) vs plasmakinetic enucleation of the prostate ( PKEP) in treatment of benign prostatic hyperplasia ( BPH).Methods Sixty cases of BPH were randomly divided into Ho LEP group ( treated with Ho LEP) and PKEP group ( treated with PKEP) by random number table method. The relevant data were collected during and after operation. IPSS, QOL, Qmax and PVR were recorded during the follow-up period. Results There were significant differences between Ho LEP group and PKEP group in the mean duration of operation[ ( 47. 6 ± 7. 1) min vs ( 74. 2 ± 9. 7) min], in bladder washing time[ ( 9. 3 ± 2. 1) h vs ( 16. 7 ± 4. 3) h], in the mean time of indwelling catheter[ ( 72. 8 ± 5. 1) h vs ( 79. 6 ±5. 4) h], in the mean duration of hospitalization[ ( 5. 9 ± 1. 7) d vs ( 8. 8 ± 1. 5) d], and in the decrease of hemoglobin[ ( 7. 0 ±1. 3) g/L vs ( 9. 6 ± 1. 7) g/L] ( P ＜ 0. 05). There were no significant differences in the mass of the excised prostates and the incidence of complications between the two groups ( P＞ 0. 05). There were no significant differences in IPSS, QOL, Qmax and PVR before and 6 months after operation between the two groups ( P＞ 0. 05). Conclusion Compared with PKEP group, Ho LEP group has less bleeding, shorter operation time, bladder washing time and hospitalization time in the treatment of BPH. Ho LEP may be the primary method of surgieal treatment for BPH.
Keywords：Holmium laserEnucleationBenign prostatic hyperplasia (BPH)Plasma
Publication Date：2019-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 158-161 )