Transurethral resection of prostate versus bipolar plasma kinetic resection of the prostate: A comparison of their effects on the treatment of benign prostatic hyperplasia

Objectives: The main objective of this study was to compare the efficacy and safety between transurethral resection of prostate(TURP) and bipolar plasma kinetic resection of the prostate(PKRP) for benign prostatic hyperplasia(BPH).Methods: In this study,we selected 800 BPH patients who were treated in the Department of urology of our hospital from October,2006 to November,2011.All the patients were divided into two groups according to different operation method,namely,TURP group and PKRP group.Then the operation conditions,the symptom improvements and the side-effects were compared between the two groups.Results: There was no significant difference in preoperative factors between the two groups.The operative time and intraoperative bleeding were significant less in PKRP than in TURP group.Six months postoperatively,IPSS,QOL and Qmax were significantly improved in both two groups,but there was no significant difference in symptom improvement between the two groups.The incidence rate of TRUS,uroclepsia,urethrostenosis were remarkablly higher in TURP group than in PKRP group.Conclusion: PKRP and TURP have similar efficacy in the treatment of BPH,but PKRP is safer than TURP,presenting less intraoperative bleeding,low incidence of TURS and complications.Therefore,PKRP is a better treatment option for BPH.