A comparison of the efficacy of transurethral plasmakinetic resection of the prostate and common transurethral resection of the prostate for benign prostatic hyperplasia

Objective To compare the clinical efficiency between bipolar plasmakinetic superpulse transurethral plasmakinetic resection of the prostate (PKRP) and common transurethral resection of the prostate (TURP) for benign prostatic hyperplasia (BPH).Methods One hundred and six patients with benign prostatic hyperplasia were enrolled in this study.Fonty-eight patients underwent PKRP and 58 patients did TURP with lumbar anesthesia. The operation time,bleeding volume and operative complications were compared between two groups. Postoperative parameters,such as international prostate symptom score (IPSS),quality of life (QQL) and the maximal urinary flow rate (Qmax) were compared with that of preoperation.Results All the operations were successful without any case of the operation becoming open. The blood loss in PKRP group was less than that in TURP group. No prostatic capsula perforation occurred in PKRP group,with 2 cases of prostatic capsula perforation in TURP group. One to 3 months follow-up was performed in two groups patients with better postoperative IPSS,QQL and Qmax than those of preoperation.Conclusion PKRP and TURP have similar surgical efficacy for BPH,but PKRP is safer than TURP with less blood loss and less capsula perforation.