Therapeutic efficacy of bipolar plasmakinetic resection compared with transurethral resection on benign prostate hyperplasia

Objective To compare the efficacy of bipolar plasmakinetic resection of prostate(PKRP)and transurethral resection of prostate(TURP) for benign prostatic hyperplasia(BPH).Methods From August 2007 to October 2009,300 patients with BPH in our institution were randomized into 2 groups,with 150 patients in each group,and were treated with PKRP and TURP respectively.The clinic variables: operative time,blood loss,postoperative irrigating time,catheter rentention time,hospital stay,international prostatic symptom score(IPSS),maximum urine flow rate(Qmax) and quality of life,and incidence rate of complication(transurethral resection symptom,bleeding,incontinence,bladder spasm and urethral stricture) in each group perioperatively and 3 month after surgery.Results In PKRP group,the blood loss,the postoperative bladder irrigating time,the catheter rentention time and the hospital stay were significantly less than those in TURP group(P0.05).All the cases were followed up for 3 months,IPSS,Qmax and QOL were significantly improved in both groups after the procedures(P0.05),but no significant differences were found between the 2 groups(P0.05).The incidence rate of complications in PKRP group was significantly lower than that in PKRP group(P0.05).Conclusions PKRP and TURP has the similar therapeutic efficacy in the treatment of BPH,but PKRP is safer and with lower complication than TURP.Thus,PKEP is a better treatment option for BPH.