Efficacy of four-step method transurethral plasmakinetic enucleation of prostate with preservation of the bladder neck in the treatment of benign prostatic hyperplasia
Li Gongcheng1, Pan Tiejun1, Wen Handong1, Shen Guoqiu1, Xie Sen1, Tu Zhong1, Yang Jiarong1
1Department of Urology, Wuhan General Hospital of Guangzhou Command of PLA, Wuhan 430070, China
Abstract：Objective: To explore the safety and efficiency of four-step method transurethral plasmakinetic enucleation of prostate with preservation of the bladder neck (FSMPKEP) for benign prostatic hyperplasia (BPH). Methods: 200 patients with BPH were divided into FSMPKEP group (n=80) and transurethral plasmakinetie resection of prostate (PKRP) group (n=120). The clinical indicators of perioperative and 3-month postoperative period were analyzed. Results: There was no significant difference in preoperative factors between the two groups (P>0.05). The mean operative time, bladder irrigating time, catheterization time and hospital stay were shortened in the FSMPKEP group as compared with those in the PKRP group (P<0.05). The mean resected tissues weighted more in the FSMPKEP group than in the PKRP group (P<0.05). During the follow up period of 6 months, there was no significant difference in international prostate symptom scores (IPSS), quality of life (QOL), postvoid residual (PVR), urinary incontinence and urethral stricture between the two groups (P>0.05). Maximum urinary flow (Qmax) in FSMPKEP group (19.50±2.32 mL/s) was increased as compared with PKRP group (18.60±2.58 mL/s) (P<0.05). The incidence rate of retrograde ejaculation in FSMPKEP group (22.50%, 18/80) was significantly lower than in PKRP group (68.33%, 82/120) (P<0.05). Conclusions: FSMPKEP is as effective as PKRP for the treatment of BPH, which has the characteristic of short postoperative recovery time, more removal of the prostate tissue and low incidence rate of retrograde ejaculation at the same time. FSMPKEP is safe, effective and ideal minimally invasive treatment procedure for BPH.
李功成,潘铁军,文瀚东,沈国球,涂忠,杨家荣. “四步法”保留膀胱颈等离子前列腺剜除术治疗良性前列腺增生的疗效研究[J]. 微创泌尿外科杂志, 2015, 4(4): 208-211.
Li Gongcheng, Pan Tiejun, Wen Handong, Shen Guoqiu, Xie Sen, Tu Zhong, Yang Jiarong. Efficacy of four-step method transurethral plasmakinetic enucleation of prostate with preservation of the bladder neck in the treatment of benign prostatic hyperplasia. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2015, 4(4): 208-211.
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