Transurethral Prostatectomy with the Bipolar Plasmakinetic Technique for Benign Prostate Hyperplasia

Objective To evaluate the effect and safety of transurethral prostatectomy with the bipolar plasmakinetic technique(PKRP) in the treatment of patients with benign prostate hyperplasia(BPH) in high risk.Methods Thirty eight BPH patients in high risk underwent transurethral prostatectomy with the bipolar plasmakinetic technique.Results The operation lasted 40～120 min,averaging 60 min.The resected tissues weighed 15～80 g,averaging 47g.During the operation no transurethral resection(TUR) syndrome occurred.The catheter was indwelled for 2～7 days after the operation,all patients had a remarkble improvement in urination after removal of the catheter,and however there were 4 patients who had a transient incontinence of urine.The patients were followed up for 3～6 months.The score of international prostate symptom score(IPSS) decreased from(25.4±6.6) preoperatively to(8.6±4.2) postoperatively.and the maximum flow-rate(Qmax) increased from(7.6±1.1) ml/s preoperatively to(18.6±3.0) ml/s postoperatively(t=13.24,21.22,P0.05).Conclusion Transurethral prostatectomy with the bipolar plasmakinetic technique is a safe and effective means for the treatment of patients with BPH in high risk,it is worth popularizing.