Effect of different urinary control strategies on urodynamics and sexual function after transurethral plasma enucleation of prostate
Objective To compare the effects of different urinary control strategies on urodynamics and sexual function after transurethral plasma enucleation of the prostate.Methods 108 patients with prostatic hyperplasia who underwent transurethral plas-ma enucleation of prostate in our hospital from January 2017 to January 2022 were selected as the research objects.They were random-ly divided into observation group and control group,54 cases in each group.In the selection of different urinary control strategies,the control group had complete enucleation during the operation,while the observation group retained urinary enucleation during the opera-tion.The intraoperative and postoperative related indicators were recorded and followed up for 3 months.The maximum urinary flow rate(Qmax),residual urine volume(PVR),international Prostate symptom score(IPSS),erectile function specific score(IIEF-EF),incidence of urinary incontinence and occurrence of sexual dysfunction were compared between the two groups.Results All patients completed surgery and were followed up.There were no differences in operation time,intraoperative blood loss,postoperative bladder ir-rigation time and postoperative hospital stay between the two groups(P>0.05).The Qmax of the observation group was higher than that of the control group,PVR was lower than that of the control group,IPSS score was lower than that of the control group,and IIEF-EF score was higher than that of the control group at 3 months after surgery(P<0.05).The incidence of urinary incontinence 1 day,1 week and 2 weeks after operation in the observation group was lower than that in the control group(P<0.05).There was no difference in the incidence of urinary incontinence between the two groups at 1 month and 3 months after operation(P>0.05).Conclusions Re-tention of urinary control structure in transurethral plasma enucleation of prostate is better than complete enucleation in improving uro-dynamics in patients with prostatic hyperplasia,the former can effectively reduce the occurrence of urinary incontinence at the initial stage after operation,and has less influence on the sexual function of patients,which is worthy of promotion and application.
Prostatic hyperplasiaTransurethral plasma enucleation of prostatePreserved urinary enucleationComplete enucle-ationUrodynamicsSexual function
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