Shovel-shaped electrode transurethral plasmakinetic enucleation versus plasmakinetic resection of the prostate in the treatment of benign prostatic hyperplasia
ZHAO Lin
MA Yong-hong
CHEN Qi
CHEN Yan-bo
GU Meng
GAO Jing-feng
ZHANG Guang-tao
MOU Jiang-ning
BAO Zhen-hu
WANG Zhong
Abstract：Objective:To compare the safety and effectiveness of shovel-shaped electrode transurethral plasmakinetic enucleation of the prostate (PKEP) with those of plasmakinetic resection of the prostate (PKRP) in the treatment of benign prostatic hyperplasia (BPH).Methods:We retrospectively analyzed the clinical data about 78 BPH patients received in Shanghai Ninth People's Hospital from June 2016 to January 2017,39 treated by shovel-shaped electrode PKEP and the other 39 by PKRP.We observed the patients for 6 months postoperatively and compared the effects and safety of the two surgical strategies.Results:No statistically significant difference was observed between the PKEP and PKRP groups in the operation time ([69.3 ± 8.8] vs [72.2 ± 7.9] min,P =0.126),but the former,as compared with the latter,showed a markedly less postoperative loss of hemoglobin ([3.9 ± 2.8] vs [13.9 ± 5.2] g/L,P ＜0.001) and shorter bladder irrigation time ([12.5 ± 1.2] vs [43.4 ± 2.8] h,P ＜0.001),catheterization time ([64.0 ± 4.5] vs [84.8 ± 3.0] h,P ＜0.001) and hospital stay([3.1 ± 0.3] vs [5.5 ± 0.4] d,P ＜0.001).There were no statistically significant differences between the PKEP and PKRP groups in the postoperative maximum urinary flow rate (Qmax) ([21.62 ± 1.07] vs [21.03 ± 0.96] ml/s,P =0.12),International Prostate Symptoms Score (IPSS) (5.85 ± 0.90 vs 6.03 ± 0.81,P =0.279),quality of life score (QoL) (2.0 ± 0.73 vs 2.28 ± 0.72,P =0.09),postvoid residual urine volume (PVR) ([19.59 ± 6.01] vs [20.21 ± 5.16] ml,P =0.629),or the incidence rates of urinary incontinence (2.56％ [1/39] vs 7.69％ [3/39],P ＞ 0.05) and other postoperative complications.Conclusion:Both PKEP and PKRP are effective methods for the treatment of BPH,but PKEP is worthier of clinical recommendation for a better safety profile,more thorough removal of the prostate tissue,less blood loss,shorter hospital stay,and better improved quality of life of the patient.
Keywords：benign prostatic hyperplasiashovel-shaped electrodetransurethral plasmakinetic enucleation of the prostatetransurethral plasmakinetic resection of the prostateclinical effectiveness
Publication Date：2018-01-31
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 133-137 )