Surgical treatment of small-size prostate hyperplasia

[Objective] To compare and evaluate the efficacy of TURP plus TUIBN and TURP plus TURBN in treatment of small-size prostate hyperplasia. [Methods] The clinical data of 27 cases of small-size BPH treated by transurethral surgery were reviewed and analyzed. Of the total number, 12 underwent transurethral prostate resection (TURP) plus transurethral incision of the bladder neck (TUIBN) and 15 TURP plus transurethral resection of the bladder neck (TURBN). The curative effect of the two different surgical methods was evaluated by international prostate symptom score (IPSS), maximum flow rate (Qmax) and post-voiding residual urine volume (PVR). [Results] In the TURP+TUIBN group, the IPSS before the operation and after it was (24.3±3.8) and (7.2±3.6) respectively, the Qmax was (8.5±3.6) mL/s and (17.4±4.2) mL/s, the PVR (102.0±20.0) mL and (19.0±4.0) mL. In the TURP+TURBN groups, the IPSS before the operation and after it was (23.6±5.7) and (6.9±3.0) respectively, the Qmax was (8.2±3.1) mL/s and (23.1±3.1) mL/s, the PVR (96.0±37.0) mL and (9.0±5.0) mL. No statistical difference (P 0.05) was found in IPSS, Qmax and PVR between the two groups before the operation, there was still no statistical difference in IPSS after it, but significant difference (P 0.01) was observed in Qmax and PVR. [Conclusion] TURP+TURBN was a better treatment for small-size BPH than TURP+TUIBN.