Five-years follow-up after transurethal electrovaporization of the prostate and transurethal plasmakinetic resection of the prostate
10.3760/cma.j.issn.1000-6702.2012.05.011
- VernacularTitle:经尿道前列腺电汽化术及等离子电切术后5年疗效随访
- Author:
Min GONG
;
Qingtong YI
;
Wei HU
;
Fengming ZHU
;
Jianjun GU
;
Chuhong CHEN
;
Jianhua GUO
;
Binqiang TIAN
;
Changqing CHEN
- Publication Type:Journal Article
- Keywords:
Prostatic hyperplasia;
Transurethal elcctrovaporization of the prostate;
Transurethal plasmakinetic resection of the prostate;
Follow-up studies
- From:
Chinese Journal of Urology
2012;33(5):364-368
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo review the major complications in patients after transurethal electrovaporization of the prostate (TUVP) and transurethal plasmakinetic resection of the prostate (PKRP) retrospectively and to analyze the causes and management.MethodsClinical data of 92 cases of patients after TUVP and 226 cases after PKRP were reviewed retrospectively.The patients' relevant circumstances including subjective symptoms,objective indexes and the major long-term complications were followed up about 1-,3-,and 5-year after operation.Different therapeutic methods were chosen according to different causes of the complications.ResultsThere were no significant differences (P ＞ 0.05 ) between TUVP group and PKRP group in IPSS (7.3±2.8,7.2±2.5),QOL (2.6±0.7,2.7 ±0.5),Qmax[ (25.2±3.5),(25.5 ±3.8) ml/s] and PVR [(18.7 ±5.4),(17.8 ±6.3)ml].The incidences of bladder neck restriction was about 1.1％,3.3％,and 2.3％ after 1,3,and5 years in patients after TUVP,and 0.9％,2.7％,and 1.8％ after PKRP accordingly.For urethral stricture,it was about 3.3％,2.2％,and 1.1％ after TUVP,and 3.1％,2.2％,and 0.9％ after PKRP.For residual prostatic hyperplasia,it was about 1.1％,2.2％,and 4.5％ after TUVP,and 1.3％,2.7％,and 3.7％ after PKRP accordingly.ConclusionsTUVP and PKRP are effective and safe treatment options for BPH.The major long-term complications after TUVP and PKRP are bladder neck restriction,urethral stricture and residual prostatic hyperplasia.Regular and long-term follow-up is required for patients after TUVP and PKRP.Different therapeutic methods should be chosen according to different causes of the complications after operation.
