Comparison of the effects of two different transurethral surgical methods for high-risk BPH
Objective:To compare the effects of two different transurethral surgical methods for high-risk benign prostatic hyperplasia(BPH).Methods:The clinical data of 108 patients with high-risk BPH admitted to the hospital from June 2021 to June 2023 were analyzed retrospectively.According to different surgical methods,the patients were divided into resection group(n=42)and enucleation group(n=66).Therapeutic effects in the two groups were analyzed.Results:Surgical time,catheter indwelling time,hospital stay,intraoperative blood loss and residual gland mass of enucleation group were shorter/less than those of resection group(P<0.05).The International Prostate Symptom Score(IPSS),residual urine volume,prostate-specific antigen,prostaglandin E2 and testosterone levels in enucleation group were lower than those in resection group.The maximum flow rate,International Index of Erectile Function-5 score and Chinese Index of Premature Ejaculation-5 score were higher than those in resection group(P<0.05).Conclusion:Transurethral plasmakinetic enucleation of prostate is more effective to treat high-risk BPH.
Transurethral resection of the prostateTransurethral plasmakinetic enucleation of prostateHigh-risk benign prostatic hyperplasiaSexual function