Comparative Study Between Four Area Division Plasmakinetic Enucleation Of Prostate And Plasmakinetic Enucleation Of Prostate On Senior And High Risk Benign Prostatic Hyperplasia

Objiective： To explore the curative effect of four area division plasmakineticenucleation of prostate(FPKEP) and plasmakinetic enucleation of prostate (PKEP)fortreating senior and high risk benign prostatic hyperplasia, then provide better minimallyinvasive operation method for the treatment of BPH.Methods: To retrospeetively study65cases of BPH patients were required for surgical treatment in department of urology inthe sixth affiliated hospital of xinjiang medical university from June2011to June2012.65cases were grouped by operation method in two. Group1:33patients received FPKEP.Group2:32patients received PKEP. To compare the differences with two group amongthe preoperative general materials, the operative time,intraoperative amount of bleeding,prostate weight of resection, postoperative indwelling catheter time, bladder irrigationtime, hospital stay time, cost of hospitalization, complication of urinary incontinence andurethral stricture and postoperative follow up results of3months about internationalprostate symptoms scales score(IPSS), Quality of life (QOL) score, maximum urinaryflow rate(Qmax), residual urine volume(RUV).Results: Two groups of preoperativegeneral material were no statistical difference (P>0.05). The operative time,intraoperative amount of bleeding, resection of prostate weight of FPKEP group were lessthan PKEP group, the difference was statistically significant (P <0.05); Postoperativeindwelling catheter time, bladder irrigation time and hospitalization days of FPKEP groupwere shorter than PKEP group, cost of hospitalization in FPKEP group was lower (P <0.05); Two groups of urinary incontinence, urethral stricture rate had no statisticalsignificance (P>0.05), two groups of3months after operation, the follow-up results:international prostate symptom score (IPSS), the quality of life (QOL) score, maximumurinary flow rate (Qmax), residual urine volume (RUV) index difference was not statistically significant (P>0.05).Conclusions: Two surgical methods were all effective tothe treatment of BPH. FPKEP group had short operative time, less bleeding, fasterrecovery and less hospitalization costs. It was more suitable for senior, high-risk BPHpatients, worth of being generalized.