Transurethral resection of benign prostatic hyperplasia using bipolar plasmakinetic technique

Objective:To study the efficacy and safety of transurethral resection of the prostate with plasmakinetic energy. Methods:280 patients(mean age of 71.6 years,ranging from 52 to 91 years) with symptomatic benig prostatic hyperplasia(BPH) confirmed by IPSS,urinary flow rate,ultrasonographic estimate and PSA test were treated by plasmakinetic resection of the prostate(PKRP). All patients were followed up for 1~6 months postoperatively. Results:The duration of PKRP operation war(48±31) min (ranging from 22 to 96 min),no cases needed blood transfusion during the operation, and transurethral resection syndrome was not found. The mean time of catheterization was 2 days(ranging from 1 to 4 days),the peak flow rate was increased from(5.2±3.9) to (19.2±4.1),(21.8±4.6) and (22.3±5.7) ml/s at 1,3 and 6 months respectively. The IPSS was decreased from 24.7 to 5.7,5.1 and 5.1 respectively,the QOL was decreased from 5.3 to 1.7,1.8,1.2 at 1.3 and 6 months respectively. Conclusion:This paper suggests that transurethral bipolar plasmakinetic resection of the prostate and bladder tumor is effective and safe.