Analysis on the therapeutic effects of shovel-shaped electrode transurethral plasma kinetic enucleation and plasma kinetic resection of the prostate in the treatment of massive benign prostatic hyperplasia based on propensity score matching
Objective To compare and analyze the clinical safety and efficacy of shovel-shaped electrode transurethral plasma kinetic enucleation of the prostate(PKEP)and transurethral plasma kinetic resection of the prostate(PKRP)in the treatment of massive benign prostatic hyperplasia(＞80 mL)based on propensity score matching.Methods A total of 346 patients with massive benign prostatic hyperplasia admitted to Yangzhou University Affiliated Hospital and Xuyi People's Hospital from January 2020 to January 2022 were selected as the research objects.According to different treatment methods,they were divided into shovel-shaped electrode PKEP group and PKRP group,with 46 cases in each group.The perioperative indexes of the two groups were compared.The residual urine volume(RUV),international prostate symptom score(IPSS),quality of life score(QOL),maximum urine flow rate(Qmax),and international index of erectile function-5(IIEF-5)score were compared between the two groups 6 months after surgery.The incidences of complications between the two groups were compared.Results Compared with the PKRP group,the shovel-shaped electrode PKEP group had significantly shorter operative time,bladder irrigation time,indwelling catheter time and hospital stay,and less hemoglobin loss,with statistically significant differences(P＜0.05).At 6 months after surgery,the shovel-shaped electrode PKEP group had smaller IPSS and QOL,larger Qmax,and less RUV compared with the PKRP group,with statistically significant differences(P＜0.05).There were no significant differences in comparing the IIEF-5 score between the two groups(P＜0.05).The incidences of bladder spasms and retrograde ejaculation in the shovel-shaped electrode PKEP group were lower than those in the PKRP group,with statistically significant differences(P＜0.05).Conclusions Compared with PKRP,shovel-shaped electrode PKEP for massive(＞80 mL)BPH patients has the advantages of improving perioperative indexes,enhancing postoperative efficacy,and higher safety,etc.
Benign prostatic hyperplasiaTransurethral plasma kinetic enucleation of the prostateTransurethral plasma kinetic resection of the prostateShovel-shaped electrode
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