Application of 4K ultra-high definition endoscopic system in transurethral bipolar plasmakinetic enucleation of the prostate
Objective To evaluate the efficacy of 4K ultra-high definition endoscopic system in transurethral bipolar plasmakinetic enucleation of the prostate(TUERP).Methods A total of 97 patients with benign prostatic hyperplasia from February 2021 to January 2022 in our hospital,45 pa-tients from February 2021 to January 2022 were selected as the control group,52 patients from Febru-ary 2022 to January 2023 were as the observation group.The perioperative clinical parameters,postop-erative complications,urethral function,prostate symptoms and quality of life were compared between the two groups.Results The catheter retention time,hospital stay and postoperative hemoglobin re-duction in observation group were lower than those in control group(all P<0.05).There was no sig-nificant difference in the incidence of postoperative complications between the two groups[11.10%(5/45)vs.5.76%(3/52),P<0.05].The scores of postoperative International Prostate Symptom Scale(IPSS),post-urination residual urine volume(PVR)was reduced compared with those before surgery,maximum urinary flow rate(Qmax)and bladder compliance(BC)of patients in both groups were improved compared with those before surgery,and the IPSS scores and PVR of patients in the ob-servation group were significantly decreased compared with those in the control group.Qmax and BC were significantly increased compared with control group(all P<0.05).The scores of behavioral re-striction,psychosocial impact and social activity restriction in both groups were improved after surgery,and the scores of behavioral restriction,psychosocial impact and social activity restriction in the obser-vation group were increased more significantly than those in the control group(all P<0.05).Conclu-sions The application of 4K ultra-high definition endoscope system in TUERP can improve the func-tion of urethra and the symptoms of prostate,promote the early postoperative rehabilitation and improve the quality of life.
Prostatic HyperplasiaTransurethral Resection of ProstateEndoscopy