| Objectives: Evaluate the longtime efficary of bipolar transurethral plasmakineticprostatectomy (TUPKP) for the treatment of lower urinary tract symptoms(LUTS)suggestive of benign prostatic hyperplasia(BPH).Methods: From July2011to June2012, cases of BPH/LUTS undergone TUPKPwere analyzed retrospectively by telephones, evaluated the International ProstateSymptom Score (I-PSS) before surgery and after surgery (total score of I-PSS，I-PSS of storage symptoms，I-PSS of voiding symptoms), total score of Quality OfLife(QOL) and Overactive Bladder Symptom Score (OABSS), et al.Results:92cases with BPH/LUTS were followed up more than half year afteroperation,38cases were followed up between6months to12months after surgery,the preoperative and postoperative average total score of I-PSS were28.39±2.67and8.53±4.64respectively, the preoperative and postoperative average storage symptomsscore of I-PSS were17.08±1.82and6.45±2.87respectively, the preoperative andpostoperative average voiding symptoms score of I-PSS were11.32±1.21and2.08±2.01respectively, the preoperative and postoperative average score of QOLwere5.29±0.52and2.11±1.31respectively, the preoperative and postoperativeaverage score of OABSS were10.92±1.22and5.74±2.25respectively.54werefollowed up between12months to18months after surgery, the average total score ofI-PSS decreased from28.98±2.74pre-operation to7.94±3.61post-operation, theaverage storage symptoms score of I-PSS decreased from17.02±1.70pre-operation to from11.96±1.54pre-operation to2.28±1.76post–operation, the average score ofQOL decreased from5.39±0.49pre-operation to1.93±1.06post-operation, theaverage score of OABSS decreased from10.65±1.66pre-operation to5.41±2.17post-operation. In all92cases followed up from6months to18months, the averagetotal score of I-PSS decreased from28.74±2.71pre-operation to8.18±4.05post-operation, the average storage symptoms score of I-PSS decreased from17.04±1.74pre-operation to6.00±2.74post-operation, the average voiding symptomsscore of I-PSS decreased from11.70±1.44pre-operation to2.20±1.86post-operation,the average score of QOL decreased from5.35±0.50pre-operation to2.00±1.17post-operation, the average score of OABSS decreased from10.76±1.49pre-operationto5.54±2.20post-operation. Total score of I-PSS (I-PSS of storage symptoms，I-PSSof voiding symptoms), total score of Quality Of Life (QOL) and Overactive BladderSymptom Score (OABSS) were significantly lower in pre-operation than inpost-operation (P <0．05). At the followed-up time between6months to12monthsafter surgery,5(13.16％)were dissatisfied or bored with the current LUTS (QOL≥4),other31(86.84%) were satisfied with the current LUTS (QOL<4),26(68.42％) stillsuffered from overactive bladder (OAB) symptom,4(10.53％) cases had mild OABsymptom,21(55.26％) had moderate OAB symptom and1(2.26％) OAB symptomwere severe.. At the followed-up time between12months to18months after surgery,4(7.41％)were dissatisfied or bored with the current LUTS (QOL≥4), other50(92.59%) were satisfied with the current LUTS (QOL<4),38(70.37％) still hadOAB symptom,10(18.52％) cases had mild OAB symptom,28(51.85％) hadmoderate OAB symptom and nonone was severe. In all92cases followed up from6months to18months after surgery,9(9.78％)were dissatisfied or bored with thecurrent LUTS (QOL≥4), other83(90.78%) were satisfied with the currentLUTS(QOL＜4),64(69.57％) still suffered from OAB symptom,14(15.22％) caseshad mild OAB symptom,49(53.26％) had moderate OAB symptom and1(1.09％)were severe.1developed incontinence,1developed urethral stricture followeddilation of urethra,1OAB symptom improved poorly and treated by paracenteticpuprapubic cystostomy,1nonresponder treated via secondary TUPKP. Conclusions: Lower urinary tract symptoms especially voiding symptoms inpatients with BPH/LUTS were improved significantly after TUPKP, but storagesymptoms especially OAB symptom were still present in many.cases It is worthwhileto pay more attention to taken an active treatment and to follow-up visit frequently bymedical workers. |
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