Abstract：Objective To investigate the clinical effect of transurethral plasmakinetic resection of prostate (PKRP) for benign prostatic hyperplasia (BPH) with acontractile detrusor.Methods: Comparative studies were performed in 74 cases of benign prostatic hyperplasia with acontractile detrusor before and after PKRP, and then analysed and assessed the indicators of urodynamics and IPSS. Results: The detrusor function recovered gradually in 94.6% patients after surgery. The strength of the bladder detrusor contraction increased after operation. The maximum flow rate increased significantly after operation with Qmaxof (12.4±3.5)L/s, compared with (5.6±2.7)L/s before treatment．Postvoid residual urine (PVR) decreased obviously after treatment (261±59)mL vs. (47±32)mL, P＜0.05). Postoperative IPSS was (9.6±5.1), compared with (25.2±7.9) before operation (P＜0.05). Only 4 patients experienced temporary incontinence. Conclusions: BPH patients with acontractile detrusor comfirmed by urodynamics test that were found to have no peripheral neuropathy in further examination could benefit from PKRP, because the surgery could relieve the obstruction and be conducive to the recovery of detrusor function.
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