| Purpose: Via retrospectively analyzing the clinic data about 110 patients with benign prostatic hyperplasia(BPH),we compared multiple aspects,including general condition,perioperative and postoperative complications,between those patients treated with transurethral bipolar plasmakinetic resection of prostate(TUPKRP)and those with transurethral plasmakinetic enucleation of the prostate(TUPKEP),which could help clinicians choose aptly surgical approaches.Materials and Methods: We retrospectively analyzed the clinic data about 110 patients hospitalized in the urology department of the First Affiliated Hospital of Hainan Medical College due to beign prostate hyperplasia(BPH)in from December of 2016 to December of 2017.Among these patients,70 cases received TUPKVP,while 40 cases received TUPKEP.Via analyzing the data in multiple aspects,including preoperative general conditions(such as age,prostate specific antigen(PSA)level,international prostate symptom score(IPSS),quality of life score(QOL),prostate mass),perioperative condition(such as operative time,bleeding volume during operation,mass of removed gland tissue,continuous bladder irrigation time,preserved time of installing catheter,length of stay),and complications(such as capsular perforation,urinary incontinence,transurethral resection syndrome(TURS),urinary tract infection,urethrostenosis),we evaluated the difference of the safety,treatment effectiveness and method feasibility between these two alternative therapeutic methods for BPH.Pairing t-test was applied in data comparison from general conditions and perioperative conditions,while one-way ANOVA was used in data compaison from postoperative complications.The level of statistical significance was defined as P(27)0.05.Results: There was no significant difference in preoperative general conditions,including PSA,IPSS,QOL and prostate volume between the two groups(P>0.05).Compared with the TUPKRP group,the intraoperative blood loss in the TUPKEP group was lower,and the difference between the two groups was statistically significant(P<0.05).The mass of excised prostate tissue was bigger in the TUPKEP group than in the TUPKRP group(P<0.05).In the comparison of,duration of bladder irrigation,indwelling catheter time,and length of stay in hospital,the time for excision group was shorter and the difference was statistically significant(P<0.05).The incidence of postoperative complications(capsular perforation and bladder spasmodic pain)was significantly lower in the TUPKEP group than in the TUPKRP group(P<0.05).In terms of indicators like IPSS and QOL,scores within 3 months after the operation are superior to those before the operation in the TUPKEP group and the TUPKRP group respectively(P<0.05),suggesting that both surgical methods are effective;there are no significant difference between these two groups.Conclusions: Compared with TUPKRP,TUPKEP for patients with benign prostatic hyperplasia has significant advantages containing less bleeding,complete excision of prostate tissue,fewer postoperative complications,shorter hospital stays,and faster recovery,and therefore it is worthy of clinical application. |
