Clinical Comparative Study Of Moses Holmium Laser And Bipolar Plasma In Enucleation Of Prostate

ObjectiveIn this study,Comparing clinical data and follow-up results of Moses laser enucleation of the prostate(MoLEP)and Transurethral bipolar plasma enucleation of the prostate(PKEP),to evaluate the clinical application value and clinical effect of MoLEP in Benign Prostatic Hyperplasia(BPH).Objects and MethodsA total of 178 patients with BPH surgery completed by the same operator in The First hospital of Jiaxing from 2020.01.01 to 2021.6.30 were retrospectively analyzed and divided into experimental group(MoLEP)and control group(PKEP),with 83 cases of the former and 95 cases of the latter.The data of the two groups were compared and studied.Perioperative indexes of the two groups were recorded:enucleation time,enucleation quality(weighed after enucleation,crushed and dried water),enucleation efficiency,blood loss,bladder flushing time,catheter indwelling time,postoperative hospital stay.Follow-up and indexes were recorded 3 and 12 months after the operation:IInternational Prostate Symptom Score(PVR),Quality of Life(QoL),Post-void residual volume(PVR),The maximum flow rate(Qmax).Postoperative complications and remission:There is Bladder neck contracture(BNC),temporary urinary incontinence,postoperative hemorrhage,and urinary retention after extubation.Results1.By comparing the perioperative indexes between the experimental group(MoLEP)and the control group(PKEP),it was found that MoLEP was superior to PKEP in terms of evission time,evission efficiency,blood loss,bladder flushing time and catheter indentation time(all P<0.05).In terms of enucleation quality,there was no significant statistical difference between the two methods(P>0.05).2.There was no significant difference in the efficacy of IPSS,QoL,PVR and Qmax between the two groups 3 and 12 months after surgery(all P>0.05).The indexes of each group at 3 months and 12 months after surgery were significantly different from those before surgery(all P<0.05).3.Postoperative complications:there were no significant statistical differences in temporary urinary incontinence,postoperative bleeding and urinary retention after extubation(all P>0.05),but MoLEP was superior to PKEP in terms of bladder neck and mouth contracturee(P<0.05).ConclusionCompared with PKEP,MoLEP had higher enucleation efficiency,shorter enucleation time,less intraoperative bleeding,shorter postoperative indenture catheter and hospital stay,and lower incidence of bladder neck and mouth.It is worth popularizing and applying in transurethral prostate enucleation.