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Curative effect observation of transurethral plasmakinetic enucleation of prostate in treatment of benign prostatic hyperplasia

HU Peng;LI Gang;LIU Zhong-wen;Department of Urology Surgery,the people' s hospital of Mianzhu;  
Objective To observe the effect of transurethral plasmakinetic enucleation of prostate(TUERP) in treatment of benign prostatic hyperplasia(BPH).Methods Retrospective analysis of 176 patients with BPH who underwent surgical treatment in the department of urology of the Mianzhu People's Hospital.The were divided into observation group(n=86cases) and control group(n=90 cases) according to different surgical methods.The observation group was treated with TUERP.The control group was treated by transurethral resection of prostate(TURP).The operation time,resected prostate volume,the amount of bleeding during operation,the time of bladder irrigation,the time of indwelling catheter and the length of hospital stay were compared between in the two groups.Compared the two groups before and after the operation of 6h for International Prostate Symptom Score(IPSS),quality of life score(QOL) score,bladder residual urine volume(PVR) and maximum urinary flow rate(Qmax),in order to evaluate the long-term effect.Results The prostatic resection volume of observation group was more than that of the control group(P 0.01);The operation time of the observation group was shorter than that of the control group(P 0.01);The amount of bleeding in the observation group was less than that in the control group(P 0.01);The bladder irrigation time,catheterization time and postoperative hospitalization time of the observation group were all shorter than the control group(P 0.01);After 6 months,the IPSS,QOL score and PVR in the two groups were lower than that before the operation,and Qmax was higher than that before the operation(P 0.05);But there was no significant difference in IPSS,QOL score,PVR,Qmax between the two groups(P 0.05).Conclusion Compared with TURP,the treatment time is shorter,the tissue resection is more complete,patients recover faster with TUERP in the treatment of the patients with BPH.
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