Abstract：Objective： To compare the effects of transurethral vaporization of prostate (TUVP) and transurethral plasma kinetic enucleation of prostate (PKEP) on urodynamics and sexual function in patients with benign prostatic hyperplasia (BPH). Methods： Clinical data of 90 patients with BPH (>60 mL) were retrospectively analyzed. Those patients were divided into TUVP group (41 cases, TUVP treatment) and PKEP group (49 cases, PKEP treatment) according to the procedure. The surgical conditions, urodynamics index, IPSS, IIEF-5 and CIPE-5 of two groups were compared. Results： The operative time, blood loss and indwelling time in PKEP group were lower than TUVP group (P<0.05). Six months after surgery, the maximum urine flow rate (Qmax) and bladder compliance (BC) in PKEP group were significantly higher than TUVP group and the residual urine volume (PVR) and IPSS score were lower than TUVP group (P<0.05). The IIEF-5 score and CIPE-5 score in PKEP group were significantly higher than TUVP group (P<0.05). The total incidence of complications in PKEP group was significantly lower than TUVP group (P<0.05). Conclusion： PKEP surgery for BPH has good effect and few complications, which can effectively improve the urodynamics and has little sexual function damage.
徐文芳, 曾小明, 余明主, 谭公祥, 郑惠杰. 两种手术方案对>60 mL的良性前列腺增生患者尿流动力学及性功能的影响[J]. 微创泌尿外科杂志, 2019, 8(6): 399-403.
XU Wenfang, ZENG Xiaoming, YU Mingzhu, TAN Gongxiang, ZHENG Huijie. Effects of two surgical regimens on urodynamics and sexual function in patients with benign prostatic hyperplasia (>60 mL). JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2019, 8(6): 399-403.
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