Clinical analysis of transurethral plasmakinetic enucleation with shovel electrode in treatment of large-volume benign prostatic hyperplasia / 中华全科医师杂志

ABSTRACT

From June 2017 to December 2018, 60 patients with large-volume prostatic hyperplasia underwent transurethral plasmakinetic enucleation of the prostate (PKEP) with shovel electrode in Luhe Hospital. During the procedure the resected glands were pushed into the bladder and the tissues were broken and sucked with STROZ Tissue Morcellator. All operations were performed successfully. The mean total operating time was (63.0±20.5) min, including (46.0±11.3)min for enucleation and (17.0±10.2) min for morcellation time. None of the 60 patients received blood transfusion perioperatively, and there was no transurethral resection prostate (TURP) syndrome. Four patients suffered the complication of transient stress urine incontinence after removed catheter, they were recovered within 4 weeks; no true urinary incontinence or urethral stricture occurred in 6 months of postoperative follow-up. Compared with the traditional technique of sheath+electric ring to enucleate the gland, the shovel electrode enucleation has shorter operation time, lower incidence of transient stress urine incontinence after operation, and reduced medical cost.