A Comparative Analysis Of Transurethral Plasmakinetic Enucleation Of Prostate And Ransurethral Plasmakinetic Resection Of Prostate

Objective By comparative analyzing the safety and the short-term effects on transurethral plasmakinetic enucleation of prostate (PKEP) and transurethral plasmakinetic resection of prostate (PKRP) for treatment of benign prostatic hyperplasia (BPH), We can provide some theoretical basis for clinical work. Methods Totally 189 cases who were diagnosed as BPH and treated by either PKRP (n=90) or PKEP (n=99) during January 2007-January 2009 were reviewed and studied retrospectively. The perioperative parameters, therapeutic effects and complications were recorded and compared between the 2 groups. Results There was no significant difference of preoperative parameters such as age, prostate weight, complications, residual urine volume (RUV), international prostate symptom score (IPSS), quality of life score (QOL) between the 2 groups (P>0.05). The operating time, intraoperative blood loss, resected tissue weight, intraoperative fluid, the catheterization time, the postoperative bladder irrigating time and the incidence of capsule perforation were significant differences between the 2 groups(P<0.05). All the cases were followed up for 12 months, their IPSS, QOL and RUV were improved significantly compared with preoperative ones (P<0.05), but no significant difference was found between the 2 groups (P>0.05). The incidence of temporary incontinence in PKEP group was lower than that in PKRP group (P<0.05). The incidences of urethral stricture and bladder neck contracture were no significant differences between the 2 groups (P>0.05).Conclusion Compared with PKRP, the PKEP is higher safety and less complications, it is worthy of further promotion and application.