Comparative study of the clinical efficacy of transurethral enucleation of the prostate and transurethral resection of the prostate for benign prostatic hyperplasia

Objective: To compare the efficacy and safety of transurethral enucleation of the prostate(TUEP) and transurethral resection of prostate(TURP) in the treatment of benign prostatic hyperplasia(BPH).Methods: The patients with BPH were treated with TURP and TUEP(n = 80 each).Parameters including intraoperative blood loss,operating time,postoperative complications were compared,while the resected tissue weight,International Prostate Symptom Score(IPSS),quality of life score(QOL) and maximum urinary flow rates(Qmax),residual urine volume(RUV) were compared.Results: In TUEP group,the intraoperative blood loss,operating time,the incidence of intraoperative hyponatremia were significantly lower than those of TURP group(P 0.05),but the resected tissue weight were significantly higher than that of TURP group(P 0.05).Qmax,RUV,IPSS and QOI were significantly improved 6 months postoperatively in both groups(P 0.05),but there were no significant differences between the two groups(P 0.05).Conclusion: Compared with TURP,TUEP has less bleeding,less operating time,more resected tissue weight and assured clinical effect in treatment of BPH.