| ObjectiveTo investigate the clinical efficacy of surgery treatment of benign prostatic hyperplasia in elderly patients.Methods60elderly patients with prostatic hyperplasiaaged over80years were admitted in our hospital from Jan2005to Jan2009.56cases were treated with transurethral plasmakinetic resection of benign prostatic hyperplasia,and4cases were treated with suprapubic prostatic hyperplasia enucleation.IPSS score, residual urine volume and maximumurinary flow rate (Qmax) in all patients were compared between pre-and post-surgery.Results60cases of patients were operated.successfully.without.significant intraoperative capsular perforation,ureteral orifice and urethral sphincter injury.IPSS scores and residualurine volume weresignificantly less after surgery than before surgery (20.3±3.7) vs.(11.5±2.1),(85.1±13.0) ml vs.(37.7±7.9) ml,t=16.02,24.14, both P<0.05).The maximum flow rate Qmax was significantly higher after surgery than before surgery ((8.7±2.1) ml/s vs.(14.9±3.2) ml/s, t=12.55, P<0.05).All patients were followed up for6-12months.No incontinence and recurrence of benign prostatic hyperplasia were found.ConclusionsTransurethral plasmakinetic resection for treatment of benign prostatic hyperplasia is safe and effective in elderly patients. with a low recurrence rate,and is worthy of promoting. |
