Bipolar plasmakinetic transurethral enucleation of prostate in the treatment of benign prostatic hyperplasia:Report of 220 cases

Objective To evaluate the clinical effect of transurethral resection of prostate with the bipolar plasmakinetic technique(PKRP) in the treatment of benign prostate hyperplasia(BPH).Methods Two hundred and tuenty patients with BPH underwent transurethral enucleation of prostate with the bipolar plasmakinetic technique.The clinical parameters include operation time,blood loss,postoperative catheter retention time,postoperative complication rates,compare the differences of International Prostate Symptoms Score(IPSS),Quality of life(QOL),Residual urine(RU) and maximum urine flow rate(Qmax) pre-and postoperatively.Results Mean operation time was 40±10 min,range 30 to 90 min.Mean blood loss was 70±10 ml.Postoperative indwelling catheter time was 4±0.5 days.All cases were followed up for 6 to 12 months,IPSS by the 27.8±2.3 points down to 9.6±2.6,QOL by the 5.5±0.5 decreased to 1.5±0.5;residual urine from the 110±7 ml down to 25±4 ml;Qmax by the 8.0±2.3 ml/s up to 18±2.4 ml/s.Conclusions Transurethral enucleation of the prostate with the bipolar plasma kinetic technique has advantages of high safety,less complication and satisfactory efficacy and was a safe and effective measure for the treatment of BPH.