Safety And Feasibility Analysis Of Transurethral Unipolar Ball Electrode Enucleation Of Prostate

Objective:To evaluate the safety and feasibility of transurethral unipolar ball electrode enucleation of prostate for benign prostatic hyperplasia(BPH).Methods:In our study,60 BPH patients were divided randomly into 2 groups including patients underw ent transurethral unipolar ball electrode enucleation of prostate(30 cases)and patients underwent TURP(30 cases).Clinical data including maximum urinary flow rate(Qmax),postvoid residual volume(PVR),international prostate symptom score(IPSS),quality-of-life score(QOL score)were evaluated before and 6 months after operation.Blood loss in operation,operation time,weisht of resected prostate tissue,bladder irrigation time,catheterization time,length of hospital stay and postoperative complications were also collected from the perioperative period.Results:Six months after surgery,PVR,IPSS,QOL and Qmax were all significantly improved in both enucleation and TURP groups compared with the data beforeoperation,while there was no significant difference between the two groups(P>0.05).Patients from the enucleation group showed markedly lower values of blood loss and bladd erirrigating time than that of TURP group(P﹤0.01),weisht of resected prostate tissue was significantly less in enucleation group than those of TURP group(P<0.05).The operation time of enucleation group was slightly longer than that of TURP group,but there was no difference(P> 0.05).Length of hospital stay and postoperative complications was no significant difference between the two groups(P> 0.05).No serious complications such as TURS and perforation occurred in both groups.Conclusion:Transurethral unipolar ball electrode enucleation of prostate is feasible,safe and effective,which is a suitable choice in the primary hospitals.