The Comparative Efficacy of Transurethral Resection of Prostate and Transurethral Resection of Plasma in the Treatment of Patients with Severe BPH

JIANG Lei

doi:10.14033/j.cnki.cfmr.2015.02.004

Abstract：Objective:To compare and observe the clinical efficacy of transurethral resection of prostate(TURP) and transurethral resection of plasma(PKRP) in the treatment of patients with severe benign prostatic hyperplasia(BPH).Method:72 patients with severe BPH admitted to our hospital from 2013 to 2014 were selected as research objects,they were randomly divided into the observation group and the control group according to a double-blind method,36 cases in each group,the observation group was treated with PKRP therapy,the control group was treated with TURP therapy.The related indicators surgery, postoperative complications and key indicators to improve the situation before and after surgery of the two groups were observed and compared.Result:The operation time,postoperative continuous bladder irrigation time and hospitalization time of observation group were significantly shorter than those of control group, the blood loss volume during operation of observation group was significantly less than that of control group,the differences were statistically significant(P<0.05). The main complications were prostate syndrome,urethral stricture,urinary incontinence and bladder neck contracture,the total complication rate of observation group was 11.1%,which was significantly lower than 30.5%of control group,the difference was statistically significant(P<0.05).Two groups of patients after 1-6 months follow-up,the results of postoperative residual urine(PVRU),maximum urinary flow(Qmax),quality of life score (QOL),international prostate symptom score(IPSS) and other relative to the previous surgery were significantly improved(P<0.05),but there were no significant differences between the two groups after surgery(P>0.05).Conclusion:The clinical effects of TURP and PKRP in the treatment of patients with severe BPH are good,the operative time in PKRP surgical is shorter,less blood loss,fewer complications,can effectively shorten the hospitalization time,with higher clinical application value.