Comparison of effects of transurethral plasmakinetic resection of prostate and transurethral resection of prostate in treatment of patients with benign prostatic hyperplasia
Objective:To compare the effect of transurethral plasmakinetic resection of prostate(TUPKP)and transurethral resection of prostate(TURP)in the treatment of patients with benign prostatic hyperplasia(BPH).Methods:A prospective study was conducted on 74 BPH patients admitted to this hospital from January 2020 to February 2023.They were divided into control group and observation group according to the random number table method,37 cases in each group.The observation group was treated with TUPKP,while the control group was treated with TURP.The surgery-related indicator levels,the disease-related indicator levels[prostate specific antigen(PSA),prostaglandin E2(PGE2)]before and after the surgery,the urodynamic indicator levels[bladder compliance(BC),maximum urinary flow rate(Qmax),residual urine volume(PVR)],the prostate symptoms[International Prostate Symptom Score(IPSS)],and the incidence of postoperative complications were compared between the two groups.Results:The operation time,the catheter indwelling time,the bladder irrigation time and the hospitalization time of the observation group were shorter than those of the control group,the intraoperative blood loss was less than that of the control group,and the differences were statistically significant(P<0.05).Seven days after the surgery,the levels of PSA and PGE2 in the two groups were lower than those before the surgery,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Three months after the surgery,the levels of BC and Qmax in the two groups were higher than those before the surgery,and those in the observation group were higher than those in the control group;the levels of PVR in the two groups were lower than those before the surgery,and that in the observation group was lower than that in the control group;and the differences were statistically significant(P<0.05).The IPSS scores of the two groups were lower than those before the surgery,that in the observation group was lower than that in the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of postoperative complications between the two groups(P>0.05).Conclusions:TUPKP in the treatment of the BPH patients can reduce surgery-related indicator levels,the disease-related indicator levels and the prostate symptom scores,and improve the levels of urodynamic indicators.Moreover,it is superior to the TURP treatment.
Benign prostatic hyperplasiaTransurethral plasmakinetic resection of prostateTransurethral resection of prostateUrodynamicsInternational Prostate Symptom ScoreComplication
万方数据
维普
