Comparison of holmium laser enucleation and plasmakinetic enucleation of the prostate for benign prostatic hyperplasia
10.3760/cma.j.issn.1008-6315.2015.09.018
- VernacularTitle:钬激光前列腺剜除术与经尿道等离子前列腺剜除电切术治疗良性前列腺增生的效果对比
- Author:
Zifeng WANG
;
Hong ZHANG
;
Qun YANG
;
Zhong HUANG
;
Xinqi ZHANG
;
Xinhui NIU
;
Yanqing XIANG
- Publication Type:Journal Article
- Keywords:
Benign prostatic hyperplasia;
Holmium laser enucleation of the prostate;
Plasmakineticenucleation of the prostate
- From:
Clinical Medicine of China
2015;31(9):831-834
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate and compare the efficacy of holmium laser enucleation of the prostate(HoLEP) and plasmakineticenucleation of the prostate(PKEP) for treating benign prostatic hyperplasia (BPH).Methods A total of 86 cases of BPH were selected from the Shandong Energy Zibo Mining Group Co.Ltd Central Hospital from January 2013 to June 2014.The patients received either HoLEP (40 cases) or PKEP(46 cases) treatment.Clinical data including postvoid residual volume (PVR),international prostate symptom score(IPSS),quality-of-life score(QOL score),maximum urinary flow rate (MFR) were evaluated before and 3 months after operation.Blood loss in operation,operation time,weight of resected prostate tissue,bladder irrigation time,catheterization time and length of hospital stay were also collected from the perioperative period.Results Three months after surgery,PVR,IPSS,QOL and MFR were all significantly improved in both HoLEP and PKEP groups compared with the data before operation (P =0.000),while there was no significant difference between the two groups(P＞0.05).Patients from the HoLEP group showed markedly lower values of bone loss in operation than that of PKEP group((69.5±23.6) ml vs.(87.5±38.0) ml,P=0.011).There were no significant differences in terms of other indexes (P＞ 0.05).Conclusion HoLEP and PKEP have similar efficiency in treating BPH,while HoLEP is suggested superior in regard of bone loss.
