Effect of Trans Urethral Plasma Kinetic Resection of the Prostate on Prostatic Symptoms and Sexual Function in Patients with Benign Prostatic Hyperplasia
Objective:To analyze the effects of trans urethral plasma kinetic resection of the prostate(TUPKRP)on prostatic symptoms and sexual function in patients with benign prostatic hyperplasia(BPH).Method:A total of 82 BPH patients with surgical indications admitted to the Department of Urology of Dafeng People's Hospital of Yancheng from January 2020 to January 2023 were prospectively selected as the study objects.They were randomly divided into TURP group[treated with trans urethral resection of the prostate(TURP)]and TUPKRP group(treated with TUPKRP),with 41 cases in each group.Perioperative indexes,surgical complications,prostate symptoms[postvoid residual urine(PVR),maximum urine flow rate(Qmax),international prostate symptom score(IPSS)]and sexual function[international index of erectile function-5(IIEF-5)]were compared between the two groups.Result:The operation time and hospital stay in TUPKRP group were shorter than those in TURP group,the intraoperative blood loss was less than that in TURP group,and the weight of excised tissue was higher than that in TURP group,the differences were statistically significant(P<0.05).There was no significant difference in catheterization time between the two groups(P>0.05).The incidence of postoperative complications in TUPKRP group was lower than that in TURP group,the difference was statistically significant(P<0.05).Six months after surgery,PVR and IPSS score in TUPKRP group were lower than those in TURP group,and Qmax and IIEF-5 score were higher than those in TURP group,with statistical significance(P<0.05).Conclusion:TUPKRP has the advantages of short operation time,less trauma,and more resection of prostate hyperplasia tissue,which is conducive to improving prostate symptoms in BPH patients,reducing the incidence of complications,and promoting the recovery of sexual capacity.
Benign prostatic hyperplasiaTrans urethral resection of the prostateTrans urethral plasma kinetic resection of the prostateProstatic symptomSexual function
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维普
