Comparative Study Of Three Transurethral Surgical Treatment Methods For Benign Prostatic Hyperplasia

Objective: To compare and evaluate the clinical and cost-effectiveness of transurethral vaporisation of the prostate (TUVP), and transurethral plasma kinetic electrovaporization resection of prostate (PKRP), with transurethral resection of the prostate (TURP).Methods: To retrospectively study the treatment effect, complication and cost of hospitalization of the three groups that 172 cases of BPH were treated with TURP, TUVP and PKRP respectively. Adverse events were recorded during the hospital stay and at follow-up visits.Results: Postoperatively, the IPSS, QOL, and Qmax of all the cases were significantly improved(P<0.01), and there was no significant difference among the three groups. The mean indwelling catheter time and resident time have no significant different among three therapies. The average lost bleed was maxium, the average period of operation was shortest, the patient's cost and hospital cost were lowest in the TURP compared with other groups.Conclusion: Three surgical methods are all effective to the treatment of HBP. TURP is as effective as TUVP & PKRP for the treatment of symptomatic BPH. TUVP & PKRP is easy handle and safe for beginners. TURP is still best for the treatment of symptomatic BPH considering patient's cost and hospital cost among three methods .