Comparison of the effect of transurethral plasmakinetie resection with conventional transurethral resection for the elderly patients with large volume and high-risk benign prostatic hypertrophy / 中华老年医学杂志

ABSTRACT

Objective To compare the efficacy and safety of transurethral plasmakinetic resection of the prostate(TUPKRP)and transurethral resection of prostate(TURP). Methods A total of 36 elderly patients with large volume prostate and high-risk benign prostatic hypertrophy were involved in this study.Among them,16 patients underwent PKRP and 20 patients underwent TURP.The operation time,blood loss,resected prostate weight,continuous bladder irrigation time,catheterization time,international prostate symptom score(IPSS)and Omax 6 months post-operation were compared between PKRP group and TURP group. Results There was no significant difference in all parameters except the blood losss between the 2 groups.The blood loss was less in TUPKRP group than in TURP group[(283±155)ml vs.(465±264)ml,P<0.05],and no blood transfusion needed during operation in TUPKRP group(O case vs.2 cases,P<0.01).However,IPSS and Omax 6 months post-operation improved significantly as compared with preoperation in the 2 groups(PKRP(27.8±3.5)vs.(6.8±3.4),(4.5±2.7)ml/s us.(15.8±6.2)ml/s;TURP(29.2±6.1)vs.(7.4±4.2),(5.2±3.6)ml/s vs.(15.2±5.3)ml/s,all P<0.01). Conclusions The effect of TUPKR is similar to TURP,but TUPKR is more safety than TURP for the elderly patients with large volume and high-risk BPH.