Comparison of curative effect between plasma kinetic enucleation-resection of prostateand traditional transurethral resection of prostate in the treatment of benign prostate hyperplasia
Li Zhiqing1, Wang Wengang1, Chen Xinzhong1, Yin Xianghui1
1Department of Urology, Yan'an Hospital of Traditional Chinese Medicine, Yan'an 716000, China
Abstract:Objective: To compare the therapeutic effect of plasma kinetic enucleation-resection of the prostate (PKEP-PKRP) and traditional transurethral resection of prostate (TURP) in the treatment of benign prostate hyperplasia (BPH). Methods: 132 cases of BPH who underwent PKEP-PKRP (n=74) and TURP (n=58) between July 2013 and July 2015 were analyzed retrospectively. The differences of general conditions before and after operation, and post-operative indexes including Qmax, post-void residual, IPSS, ankglo-urethria and uracratia were compared and analyzed between two groups. Results: There was no significant difference in general conditions before and after operation in two groups (P>0.05). The bladder irrigation time, catheterization time, cystospasm time and post-operation hospitalization time showed significant difference between two groups (P<0.05). As compare to the preoperation examinations, PVR, Qmax,IPSS ankglo-urethria and uracratia showed significant differences (P<0.05). Conclusions: As compared with the TURP, the PKEP-PKRP has the advantages of less complications and faster postoperative recovery. It is safe effective, and ideal treatment for BPH, and and is worthy to be widely applied.
李志清,王文刚,陈新忠,殷向辉. 等离子剜除联合电切术与传统电切术治疗前列腺增生的疗效比较[J]. 微创泌尿外科杂志, 2015, 4(5): 295-297.
Li Zhiqing, Wang Wengang, Chen Xinzhong, Yin Xianghui. Comparison of curative effect between plasma kinetic enucleation-resection of prostateand traditional transurethral resection of prostate in the treatment of benign prostate hyperplasia. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2015, 4(5): 295-297.
[1]Roehrborn C. Benign prostatic hyperplasia and lower urinary tract symptom guidelines. Can Urol Assoc J, 2012, 6(5 Suppl 2): S130-S132. [2]Holtgrewe HL, Mebust WK, Dowd JB, et al. Transurethral prostatectomy: practice aspects of the dominant operation in American urology. J Urol, 1989, 141(2): 248-253. [3]肖春雷,陈忠新,田晓军,等.经尿道前列腺切除术后并发症再入院分析.中国微创外科杂志,2004,4(2):97-98. [4]郑少波,刘春晓,徐亚文,等.腔内剜除法在经尿道前列腺汽化电切术中的应用.中华泌尿外科杂志,2005,26(8): 558-561. [5]Neill MG, Gilling PJ, Kennett KM, et al. Randomized trial comparing Holmium laser enucleation of prostate with plasma kinetic enucleation of prostate for treatment of benign prostatic hyperplasia. Urology, 2006, 68(5): 1020-1024. [6]赵国栋,陈勇,李建新,等.经尿道等离子前列腺剜除术和电切术治疗前列腺增生症的比较.中国微创外科杂志,2007,7(10):962-964. [7]毛后平,魏勇,曹林升,等.经尿道前列腺剜除术.中国男科杂志,2007,21(1):50-52. [8]Iwamoto K, Hiraoka Y, Shimizu Y. Transurethral detachment prostatectomy using a tissue morcellator for large benign prostatic hyperplasia. J Nihon Med Sch, 2008, 75(2): 77-84.