Abstract：Objective: To investigate the clinical efficacy of minimally invasive plasma prostate resection in the treatment of patients with high risk benign prostatic hyperplasia (BPH). Methods: The surgical procedures of 107 cases of high risk BPH admitted to the Department of Urology, and the follow-up outcomes were retrospectively analyzed. Among them, 58 patients were treated by minimally invasive plasma resection of the prostate (observation group) and 49 patients were given transurethral resection of prostate (control group). The therapeutic effectiveness was compared between the two groups. Results: In the observation group, the operative time was (61.4±21.5) min, bladder irrigation time was (20.5±6.7) min, blood loss was (93.5±24.9) mL, catheter indwelling time of (4.3±1.6) d, postoperative hospital stay was (5.6±1.8) days, and the resected prostate weight was (54.2±21.5) g, which were significantly different from those in the control group (P<0.05 for all). Postopertively, Qmax and bladder compliance in the observation group were significantly higher than in the control group [(22.5±4.8) vs. (19.4±4.1) mL/s, and (25.1±5.3) vs. (22.1±4.4) mL/cm H2O respectively] (P<0.05). The maximum detrusor pressure in the observation group [(63.7±8.5) cm H2O] was significantly lower than in the control group [(70.4±9.0) cm H2O]. Postoperative complication rate in the observation group (32.76%) was significantly lower than in the control group (53.06%) (P<0.05) Conclusions: Minimally invasive plasma resection of the prostate for patients with high risk BPH has the advantages of short operation time, rapid postoperative recovery, reliable effect, and low incidence of complications.
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