Impact of plasmakinetic resection of prostate on sexual function in patients with benign prostatic hyperplasia

Objective To investigate the efficacy of plasmakinetic resection of the prostate (TKRP) in patients with benign prostatic hyperplasia (BPH), and its impact on sexual function. Methods 130 patients with BPH in our hospital from January 2009 to June 2011 were equally divided into the TKRP group ,and the transurethral prostate electric resection (TURP) group. The international prostate symptom score (IPSS),quality of life (QOL) score, maximum urinary flow rate (Qmax), operative time, weight of resected prostate tissue ,blood loss, indwelling catheter time, postoperative hospital stay, the incidence of erectile dysfunction (ED) and retrograde ejaculation (RE) were observed. Results The intraoperative blood loss, catheterization time and postoperative hospital stay were decreased significantly in the TKRP group than those in TURP group (P0.01). The surgery time and the removal of tissue were not statistically significant between the two groups (P0.05). The levels of postoperative IPSS, QOL and residual urine were significantly decreased. The level of Qmax after surgery was increased significantly in both groups compared with the preoperative (P 0.01). After treatment, there was no difference between the two groups (P 0.05). The incidence of ED in the TKRP group at 6th and 9th month after the treatment was lower than those in the TURP group (P0.05), but the RE was not significant (P0.05). Conclusion The advantage of TKRP is little trauma, quicker recovery, and little impact on sexual function.