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| Comparison of the effects of prostate plasma enucleation and plasma resection in the treatment of large prostatic hyperplasia |
| XIONG Bobo1* HE Haoxin2* ZHANG Jinsong1▲ WANG Haifeng1 ZUO Yigang1 WANG Jiansong1 |
1.Ward One, Department of Urology, the Second Affiliated Hospital of Kunming Medical University, Yunnan Province, Kunming 650000, China;
2.Department of Urology, Pu′er Simao District People′s Hospital, Yunnan Province, Pu′er 665000, China |
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Abstract Objective To compare the efficacy of plasma prostatic enucleation and plasma prostatic electrotomy in the treatment of massive prostatic hyperplasia Methods A total of 100 patients diagnosed with mass prostatic hyperplasia (BPH) in the Ward One, Department of Urology, the Second Affiliated Hospital of Kunming Medical University from September 2017 to January 2019 were selected. According to the different surgical methods, the patients undergoing plasma resection of prostate were as the resection group (50 cases) and the patients undergoing plasma resection of prostate were as the enucleation group (50 cases). The surgical time, intraoperative blood loss, prostate resection volume, length of hospital stay, postoperative bladder irrigation time, indwelling urinary catheter time, and total postoperative complications, residual urine (PVR ), maximum urine flow rate (Q-max), international prostate symptom score (IPSS), quality of life (QOL) score, and patient quality of life score were compared between the two groups. Results The operative time, hospitalization time, postoperative bladder flushing time and postoperative indwelling catheter time of the enucleation group were all shorter than those of the resection group, the intraoperative blood loss was less than that of the resection group, the prostate resection volume was more than that of the resection group, and the total postoperative complications were less than those of the resection group, with statistically significant differences (P ＜ 0.05). The PVR, IPSS and QOL score in the enucleation group were significantly lower than that in the resection group, while Q-max was significantly higher than that in the resection group, with statistically significant differences (P ＜ 0.05). The score of quality of life in the enucleation group was significantly higher than that in the resection group, and the difference was statistically significant (P ＜ 0.05). Conclusion Prostate plasma enucleation has good clinical effect in the treatment of large-volume prostatic hyperplasia, and it is worth popularizing and applying.
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