Comparison of complications of transurethral resection of the prostate and transurethral electrovaporization of the prostat

Objective To analyze the intraoperative and postoperative complications in transurethral resection of the prostate(TURP) and transurethral electrovaporization of the prostate(TUVP), in order to further improve the efficacy and safety of these procedures. Methods Retrospective analysis was performed in 150 cases of BPH patients experienced transurethral prostatectomy, including 79 cases of TURP and 71 cases of TVP. Intraoperative, early and late postoperative complications of the two groups were analyzed. Results Two groups of patients were successfully completed surgery. For TURP and TVP groups, transurethral resection syndrome (TURS) occurred in 3.8% and 1.4%, urine extravasation in 11.4% and 8.5%, postoperative bleeding in 3.8% and 1.4%, urinary tract infections in 3.8% and 8.5%, urethral stricture in 2.5% and 5.6%, bladder neck contracture in 1.3% and 0, erectile dysfunction(ED) in 8.9% and 4.2%, urinary incontinence in 3.8% and 2.8%. Conclusions Both TURP and TVP are safe and effective surgical treatment for benign prostatic hyperplasia. The incidence rates of TURS, extravasation, ED of TURP are significantly higher than those of TVP; while the rates of urethral stricture and urinary tract infection of TVP are slightly higher than those of TURP. How to choose the suitable method should be based on specific clinical situation.