Abstract：Objective： To investigate the effect of plasmakinetic resection of the prostate (PKRP) in patients with benign prostatic hyperplasia (BPH) and its effect on sexual function. Methods： 100 patients with BPH were randomly divided into PKRP group (n=50 undergoing PKRP surgery) and TURP group (n=50 undergoing transurethral resection of prostate). The operative data and postoperative complications of two groups were compared. The QOL score, IPSS score, maximum urinary velocity (Qmax) and residual urine volume (PVR) were compared between two groups. The differences in postoperative sexual function between two groups were investigated. Results： The operative time, blood loss, urinary tube indwelling time and hospital stay in PKRP group were significantly reduced as compared with those in TURP group, and the weight of gland resection in PKRP group was greater than that in TURP group (P < 0.05). The QOL score, IPSS score and PVR amount in PKRP group were all lower than those in TURP group after surgery, while the Qmax value was higher in PKRP group than that in TURP group (P < 0.05). After surgery, the IIEF-5 score in PKRP group was significantly higher than that in TURP group, and the incidence of erectile dysfunction and retrograde ejaculation in PKRP group was significantly lower than that in TURP group (P < 0.05). The incidence of complications in PKRP group was significantly lower than in TURP group after half a year follow-up (P < 0.05). Conclusions： Compared with TURP, PKRP is more effective in the treatment of BPH, which can effectively protect the sexual function of patients and reduce the occurrence of complications.
王治国, 杨璐, 刘勇, 李金祥, 李新会. 经尿道等离子前列腺切除术在良性前列腺增生中的疗效及对患者性功能的影响[J]. 微创泌尿外科杂志, 2020, 9(1): 56-61.
WANG Zhiguo, YANG Lu, LIU Yong, LI Jinxiang, LI Xinhui. Effects of plasmakinetic resection of the prostate in patients with benign prostatic hyperplasia and its effect on sexual function. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2020, 9(1): 56-61.
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