A Comparative Study On Transurethral Enucleative Resection Of Prostate And Suprapubic Prostatectomy In Treating Benign Prostatic Hyperplasia

Objective:To compare the roles of transurethral enucleative resection of prostate ( TUERP) and suprapubic prostatectomy(SPP)in treating benign prostatic hyperplasia (BPH) .Methods:106 patients with BPH were operated on from June 2005 to March 2007 in our hospital. Among them 61 patients received TUERP and the rest underwent SPP. The age, chief complaint , digital rectal examination , prostatic volume , international prostate symptom score , quality of life , Qmax ,days of douche solution and placement of urine catheter after operation, the hospitalisation time and complications between the two groups were compared.Results:1.There was no significant difference of preoperative factors and the prostatic volume between the two groups (P>0.05).2.The differences were significant between the two groups (P<0.01). The days of douche solution after operation for TUERP was (3.49±1.50) d,shorter than that for SPP, (6.09±2.03)d. The days of placement of urine catheter after operation for TUERP was (6.07±1.91) d,less than that for SPP, (10.96±1.36) d. Significant difference was found between the two groups (P<0.01). However, the hospitalisation time for TUERP was (8.77±2.48)d,less than that for SPP, (15.96±3.50)d. The cost of hospitalization for TUERP was (15.14±4.07)thousand yuan,less than that for SPP,(17.28±4.22)thousand yuan.3. The cases were followed up for 3 months. IPSS and QOL were improved significantly compared with that of preoperative (P<0.01),but there was no significant difference between two groups.4. There were 2 case of urethral stricture and 1 case of reoperation for bleeding and 2 cases of infection of incisional wound and 3 cases of incontinence of urine in the SPP group. While 4 case of urethral stricture and 4 case of reoperation for bleeding and 1 case of TURS and 6 cases of incontinence of urine were found in the TUERP group. No significant difference was found between the two groups (P>0.05).Conclusions:1.TUERP is as effective as SPP for the treatment of symptomatic BPH.2.TUERP needs shorter postoperative recovery time , spends less cost of hospitalization than SPP.3. Although it is more difficult for doctors to learn this technology, but it should be performed extensively when we do more.