Observation on the clinical therapeutic effect of transurethral enucleative resection of prostate and transurethral resection of prostate applied in patients with benign prostatic hyperplasia
GUAN Dehui
LIU Xuening
ZENG Xianhui
JIANG Dongpeng
CHEN Yang
ZHANG Lei
HAN Jianjun
Abstract：Objective To compare clinical effect of transurethral enucleative resection of prostate (TUERP) with transurethral resection of prostate (TURP) in treating patients with benign prostatic hyperplasia (BPH), its clinical data were retrospectively analyzed. Methods 93 patients treated with TURP (TURP group) and 86 patients treated with TUERP (TUERP group) were included. Then each group were divided into two groups (≥60 g group and <60 g group) based on mass of prostate. Operation time, blood loss volume,weight of resected prostate and complications were compared among groups.Results All operations were successfully completed;surgical complications of patients applied different operation method were compared, and there was no statistically significant difference. For patients with prostate larger than 60 g, compared with TUERP group, blood loss volume was larger (t=10.468,P<0.001) and weight of resected prostate was smaller (t=4.936, P<0.001) in TURP group, and the differences were statistically significant; but there was no significant difference in operation time between two groups (t=1.653,P=0.066). For patients with prostate smaller than 60 g,there was no significant difference in operation time,blood loss and weight of resected prostate between the two groups.Conclusions Compared with TURP,TUERP has advantages of less blood loss and higher resected prostate weight in the treatment of patients with BPH larger than 60 g. With improvement of surgeon experience and development of operation techniques,TURP could be replaced by TUERP. For patients with prostate smaller than 60 g, TRUP and TUERP have no obvious difference, operation modality should be chosen by surgeon based on his experience and condition of patients.
Keywords：benign prostatic hyperplasiatransurethral enucleative resection of prostatetransurethral resection of the prostate
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 145-148 )