A comparison on the therapeutic effects of transurethral resection and bipolar plasma kinetic resection in the treatment of benign prostatic hyperplasia

Objectives: To compare the short-term clinical efficacy,safety and complications between bipolar plasma kinetic resection of prostate(PKRP) and transurethral resection of prostate(TURP) in the treatment of benign prostatic hyperplasia(BPH).Methods: 90 patients with BPH were randomly divided into two groups,45 cases receiving PKRP and another 45 cases receiving TURP.Before the operation,there were no significant differences between the two groups in international prostate symptom score(IPSS),quality of life(QQL),residual urine volume(RUV) and the maximal urinary flow rate(Qmax)(P0.05).The clinical parameters of the two groups were compared before and after the operation.Results: The change of the operative time,postoperative hemoglobin,and intraoperative bleeding were significantly different in the two groups(P0.05).Following-up visit after 3 and 6 months showed that IPSS,QQL and RUV scores increased and Qmax scores decreased significantly in both groups after the operation,but no differences were found between the two groups(P0.05).There were no significant differences in bladder washout and postoperative catheterization between the two groups(P0.05).The incidence of complications in TURP were significant differences in PKRP.Conclusions: PKRP and TURP have similar short-term efficacy in the treatment of BPH,but PKRP is much safer and produces less complications than TURP.