Comparison of transurethral simplied plasmakinetic enucleation and transurethral plasmakinetic enucleation of prostate in the treatment of benign prostatic hyperplasia

Objective To compare the clinical effects and safety of transurethral simplified plasmakinetic enucleation of prostate and transurethral plasmakinetic enucleation of prostate in the treatment of benign prostatic hyperplasia( BPH). Methods 167 patients with BPH who had surgical indications were randomized into two groups: simplify PKEP group and PKEP group. The preoperative international prostate symptom score( IPSS),the quality of life( QOL),quantity of maximum flow rate( Qmax),the operation time,weight of resected prostate were recorded. Three months after the operation,the complications and improvement of maximum flow rate( Qmax) were observed. Results The weight of resected prostate had no significant difference between the two groups( P0. 05). but there was significant difference in operation time between the two groups( P0. 05). In three months after operation,both two groups had significant improvement in Qmax and there was no significant difference in the improvement rate of Qmax( P0. 05). Conclusion Simplify plasmakinetic enucleation of prostate should be as effective and safety as transurethral plasmakinetic enucleation of prostate in the treatment of symptomatic BPH. Furthermore it cost less operation time than PKEP and predigest the operation process,so it should be an ideal minimal invasive treatment for BPH especially for beginners.