A comparative study on the clinical curative effect of two different surgical methods in treatment of high-risk benign prostatic hyperplasia
Objective To compare the clinical curative effect of transurethral plasma kinetic enucleation of the prostate(TPKEP)and transurethral plasma kinetic resection of the prostate(TPKRP)in high-risk benign prostatic hyperplasia(BPH).Methods A total of 100 patients with high-risk BPH admitted to Mengcheng County Second People's Hospital were enrolled as the research objects from October 2020 and June 2023.According to different treatment methods,they were divided into TPKEP group(n=57)and TPKRP group(n=43).TPKEP group was given TPKEP treatment and TPKRP group was given TPKRP treatment.The occurrence of postoperative complications,intraoperative surgical indicators(operation time,intraoperative blood loss,glandular incision volume),levels of traumatic stress factors[adrenocorticotropic hormone(ACTH),aldosterone(ALD),cortisol(Cor)]before and at 6 h after surgery,international prostate symptom score(IPSS)and sexual life quality[international index of erectile function-5(IIEF-5),sexual life quality questionnaire-quality of life dimension(SLQQ-QOL)]before surgery,at 1 month and 3 months after surgery were compared between the two groups.Results There was no significant difference in the incidence of postoperative complications between the two group(P＞0.05).Compared with TPKRP group,operation time was shorter,intraoperative blood loss was less,and glandular incision volume was higher in TPKEP group.After surgery,levels of ACTH,ALD and Cor in TPKEP group were lower.At 1 month and 3 months after surgery,scores of IIEF-5 and SLQQ-QOL in TPKEP group were higher,while IPSS was lower(P＜0.05).Conclusions Compared with TPKRP,TPKEP is more beneficial to the recovery of patients with high-risk BPH.
Benign prostatic hyperplasiaTransurethral plasma kinetic enucleation of the prostateTransurethral plasma kinetic resection of the prostateTraumatic stressSexual function
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维普
