Comparison of effects of transurethral bipolar plasma kinetic prostatectomy and transurethral resection of prostate in treatment of patients with benign prostatic hyperplasia
Objective:To compare effects of transurethral bipolar plasma kinetic prostatectomy (TUPKP) and transurethral resection of prostate (TURP) in treatment of patients with benign prostatic hyperplasia. Methods:A prospective study was conducted on 87 patients with benign prostatic hyperplasia admitted to the hospital from October 2021 to October 2022. According to the random number table method,they were divided into study group (n=44) and control group (n=43). The control group was treated with TURP,while the study group was treated with TUPKP. The levels of perioperative indexes (intraoperative blood loss,postoperative bladder irrigation time,catheter indwelling time),the severity of symptom scores[international prostate symptom score (IPSS),international index of erectile function (IIEF-5)],the levels of urodynamic indexes[maximum urinary flow rate (Qmax),average urinary flow rate (AFR),post-void residual urine (PVR)]before and after the surgery,and the incidence of complications 2 weeks after the surgery were compared between the two groups. Results:The intraoperative blood loss in the study group was less than that in the control group,the postoperative bladder irrigation time and the catheter indwelling time were shorter than those in the control group,and the differences were statistically significant (P<0.05). Two months after the surgery,the IPSS score of the study group was lower than that of the control group,the ⅡEF-5 score was higher than that of the control group,and the differences were statistically significant (P<0.05). Three months after the surgery,the levels of Qmax and AFR in the study group were higher than those in the control group,the PVR was lower than that in the control group,and the differences were statistically significant (P<0.05). Further,the incidence of complications in the study group was 9.09％ (4/44),which was lower than 27.91％ (12/43) in the control group,and the difference was statistically significant (P<0.05). Conclusions:TUPKP in the treatment of the patients with benign prostatic hyperplasia can reduce the levels of perioperative indexes and the incidence of complications,and improve the symptom severity scores and the urodynamic index levels. Moreover,it is superior to TURP treatment.
Transurethral bipolar plasma kinetic prostatectomyTransurethral resection of prostateProstatic hyperplasiaUrodynamicsComplication
万方数据
维普
