| Objective:A comparative analysis of plasma prostate transurethral enucleation (TUERP) and electrical excision (PKRP) treatment of largebenign prostatic hyperplasia (BPH) in the short term efficacy.Methods:Retrospective analysis of September 2007-September 2009 in our hospital 82 patients with significant BPH (prostate weight≥100g), TUERP group of 40 patients, PKRP group of 42 cases. Two groups were compared operative time, prostate weight, fluid volume, intraoperative perforation and the incidence of obturator nerve reflex, blood loss, bladder washout time, indwelling catheter time, hospital stay, the International Prostate Symptom Score (IPSS), quality of life score (QOL), maximum urinary flow rate (Qmax), residual urine volume (PVR) and complications and other indicators of change.Results:TUERP, PKRP mean operating time, resected prostate weight, decreased Hb values during hospitalization (bleeding), fluid volume, respectively (60±12.2) and (75±13.5) min, (82±15.0) and (65±15.5) g, (15.6±10.2) and (22.5±15.3) g/L, (15.4±2.0) and (19.5±2.5) L, PKRP group perforation rate of 7.1%, obturator nerve reflex was 9.5%. TUERP was no 1 case. The index difference between the two groups was significant (P<0.05). Two sets of maximum urinary flow rate (Qmax), residual urine volume (PVR), International Prostate Symptom Score (IPSS), quality of life score (QOL) after surgery compared with preoperative differences were statistically significant (P<0.05), between the two groups after IPSS, QOL was no significant difference (P> 0.05), and PVR, Qmax was statistically significant (P<0.05). Two bladder washing time, indwelling catheter time, hospital stay and postoperative complications between the two groups was statistically significant (P> 0.05).Conclusion:The comparison of two procedures, similar to the recent surgery, but TUERP prostatectomy more thoroughly and prevent recurrence, shorter operative time, less bleeding, more secure and should be introduced.
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