A comparative study of the clinical safety and efficacy between transurethral enucleation of the prostate and transurethral resection of the prostate for benign prostatic hyperplasia

Objective To compare the efficacy and safety of Transurethral enucleation of the prostate(TUEP) and Transurethral resection of prostate(TURP) in the treatment of patients with benign prostatic hyperplasia(BPH).Methods 193 patients were treated by Transurethral enucleation of the prostate(TURP) and 137 patients by Transurethral resection of prostate(TUEP).Parameters included intraoperative blood loss,operating time,intraoperative hyponatremia,postoperative complications were compared to evaluated the clinical safety of TEUP and TURP for the treatment of BPH;Resected tissue weighed,catheterization time,the consumption of TURP ring and maximum urinary flow rates(Qmax),residual urine volume(RUV),International Prostate Symptom Score(IPSS),quality of life score(QOL) were compared to evaluated the clinical efficacy.Results In TUEP group,the intraoperative blood loss,operating time,the incidence of intraoperative hyponatremia and the consumption of TURP ring were significantly lower than those of TURP group(P0.01),but the resected tissue weighed were significantly higher than that of TURP group(P0.05 or 0.01).Qmax,RUV,IPSS and QOL were significantly improved 3 months postoperatively in both group(P0.01),but there were no significant differences in the above parameters between two groups(P0.05).Conclusion Because of its less blood loss,less operating time,less incidence of intraoperative hyponatremia,less consumption of TURP ring,more resected tissue weighed,rapid recovery and assured clinical effect,TUEP deserves our application.