Comparison Of The Efficacy Of Transurethral Endoscopic Enucleation And Transurethral Resection Of Prostate In The Treatment Of Benign Prostatic Hyperplasia

Objective:To analyze and compare the effect of transurethral resection of prostate(TURP)and transurethral resection of prostate(TEP)in the treatment of benign prostatic hyperplasia(BPH).Methods:From January 2017 to January 2019,100 patients with benign prostatic hyperplasia were selected in Changzhou Jintan District People's hospital.According to different surgical methods,50 patients in the study group were treated with transurethral resection of prostate under transurethral resection mirror,and 50 patients in the control group were treated with transurethral resection of prostate.The operation of all patients was performed by the same doctor.The operation condition,indwelling time and hospitalization time of the two groups were compared.The IPSS,Qmax,QOL,residual urine volume(PVR)and complications of the two groups before and 3 months after operation were compared.Results:(1)The amount of bleeding and glandectomy in the study group was(151.3±7.6)ml and(39.8±7.6)g,which were significantly different from those in the control group(246.8±10.5)ml and(25.3±4.9)g(P<0.05).(2)The bladder irrigation time was(45.8±6.7)h,the hospitalization time was(6.1+0.8)days,and the indwelling time of urinary catheter was(5.2±1.6)days in the study group.There were significant differences between the two groups(P<0.05).(3)The IPSS score of the study group at 3 months after operation was(5.9 ± 1.4),the QOL score was(1.2 ±0.4),and the IPSS score was(5.5±1.11)at 9 months after operation,and the QOL score was(1.0 ±0.3).There was no significant difference between the two groups at 3 months after operation(P>0.05).(4).The Qmax of the two groups was(19.2 ±5.3)ml/s and(18.9 ±5.5)ml/s,at three months after operation.PVR was(14.3 ±2.8)ml and(14.5 ±2.9)ml,3 months and 9 months after operation.There was no significant difference in Qmax,PVR between the two groups(P>0.05).The incidence of postoperative complications was 4.0%in the study group and 22.0%in the control group,with significant difference(P<0.05).Conclusion:(1)Transurethral prostatectomy and transurethral resection of the prostate have good curative effect,which can effectively alleviate the symptoms of patients,reduce the residual urine volume of patients,improve the flow of urine,and improve the quality of life of patients.(2)But transurethral prostatectomy has less bleeding,more glandectomy and more thorough glandectomy.The bladder irrigation time and indwelling time are shorter and the recovery is faster after operation,which is helpful to shorten the hospitalization time of patients.(3)Compared with transurethral resection of the prostate,enucleation is more conducive to alleviating the injury to patients,reducing the risk of complications such as erectile dysfunction,bleeding and so on.It can be used as the preferred surgical method for the treatment of benign prostatic hyperplasia.