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
- VernacularTitle:经尿道等离子电切和经典电切治疗老年人高危大体积前列腺增生的疗效比较
- Author:
Bin JIN
;
Jianye WANG
;
Dong WEI
;
Jingping DENG
;
Gang ZHU
;
Ben WAN
- Publication Type:Journal Article
- Keywords:
Prostate hyperplasia;
Transrurethral resection of prostate
- From:
Chinese Journal of Geriatrics
2008;27(6):442-444
- CountryChina
- Language:Chinese
-
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.
