The clinical safety and efficacy of PKRP and TURP in the treatment of patients with benign prostatic hyperplasia prostate(volume>60 ml):A compared study

Objective To compare the clinical safety and efficiency of transurethral resection of the prostate(TURP)and transurethral bipolar plasmakinetic resection of the prostate(PKRP)for the treatment of patients with benign prostatic hyperplasia(BPH)(volume60 ml).Methods A total of 160 patients with BPH(volume60 ml),were randomly divided into PKRP group and TURP group.The age,International Prostate Symptoms Scales(IPSS),residual urine volume(RUV),the maximum of urine quotiety(Qmax),Quality of Life(QOL),operative time,blood loss of operation,catheterization time,days in hospital and the complications of operation were reviewed and analysed.Result There were no significant differences between the data of two groups before operation(P0.05).Compared with the TURP group,the PKRP group had the same operative time,IPSS,Qmax,damage of prostate capsule.There were significant differences between the blood loss of operation,hospital stay and catheterization time of two groups after operation(P0.05).Urethral stricture rate in both groups were increased.Conclusion Both PKRP and standard TURP are effective alternatives for treatment of benign prostatic hyperplasia(volume60ml).PKRP technique should be safer in preventing TUR syndrome and better for decreasing bleeding.