Comparison of holmium laser enucleation of prostate and plasmakinetic enucleation of prostate for the treatment of benign prostatic hyperplasia
10.12025/j.issn.1008-6358.2016.20150599
- VernacularTitle:经尿道钬激光前列腺剜除术与经尿道等离子前列腺剜除术治疗前列腺增生的疗效比较
- Author:
Hao-Jie ZHANG
1
;
Lu SHENG
;
Ran CHEN
;
Jing TAO
;
Zhong-Quan SUN
;
Wei-Qing QIAN
Author Information
1. 复旦大学附属华东医院泌尿外科
- Keywords:
prostate enucleation;
holmium laser;
plasmakinetic
- From:
Chinese Journal of Clinical Medicine
2016;23(5):636-639
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the safety and efficacy of the holmium laser enucleation of prostate(HOLEP)and plasmakinetic enucleation of prostate (PKERP)for the treatment of benign prostatic hyperplasia(BPH).Methods:A total of 80 patients with BPH were selected and randomly divided into two groups,with 40 cases in each group,and one group was received HOLEP treatment,while the other group was received PKERP treatment.The operation time,surgery quality, change of hemoglobin before and after surgery,bladder irrigation time,hospitalization time,surgical complications and short-term efficacy of two methods were compared.Results:The operation time in HOLEP group and PKERP group was (75.60± 16.95)min and (95.30±21.57)min,respectively.The bladder irrigation time was (16.4±4.67)h and (18.65±3.67)h, respectively.The average hospital stay time was (7.66±0.87)d and (8.19±1.2)d,respectively.The change of hemoglobin was (7.35±6.14)g/L and (10.25±6.43)g/L,respectively (P<0.05).There was no statistical significance of surgery quality,average catheter indwelling time and incidence rate of complications found in two groups.The statistical significances were found between the IPSS,QOL,Qmax and PVR before surgery and the 3rd and 6th months after surgery (P<0.05), while nostatistical difference was found between two groups.Conclusions:The HOLEP group and PKERP group had relatively equal short-term treatment efficacy,while the HOLEP group with less bleeding,short operation time,short bladder irrigation time,and short hospitalization time.Therefore,the HOLEP can be the golden standard of BPH surgery,while PKERP can be applied in surgery without holmium laser.
