2018•国际医药卫生导报Requires access
Effect of transurethral plasma kinetic resection of prostate on the symptom improvement and the sexual function in patients with benign prostatic hyperplasia
Da-qiang Yao, Kai Tian
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Abstract
Objective
To investigate the effect of transurethral plasma kinetic resection of prostate on the symptom improvement and the sexual function in patients with benign prostatic hyperplasia (BPH).
Methods
96 cases of BPH in our hospital from March 2015 to March 2017 were divided into the observation group (n=49) and the control group (n=47) according to different methods of operation. The observation group received transurethral plasma kinetic resection of prostate, while the control group received transurethral resection of the prostate. The intraoperative and postoperative recovery and complications were compared between the two groups. Following up for 6 months after the operation, the maximum urinary flow rate (Qmax), residual urine volume (PVR), quality of life score (SF-36), and International Prostate Symptom Score (IPSS) before and 6 months after the surgery, and the incidences of erectile dysfunction and retrograde ejaculation 6 months after the surgery were compared between the two groups.
Results
There was no statistically significant difference in the operation time between the two groups (P>0.05). Compared with the control group, the observation group had less bleeding during operation, shorter postoperative hospitalization time, and shorter remaining catheter time (P 0.05). 6 months after the operation, compared with the control group, PVR and IPSS score of the observation group were lower, and Qmax and SF-36 score were higher (P<0.05). The incidences of erectile dysfunction and retrograde ejaculation in the observation group were 6.12% (3/49) and 24.49% (12/49) at 6 months after the operation, lower than those in the control group [27.66% (13/47) and 44.68% (21/47)] (P<0.05).
Conclusion
Transurethral plasma kinetic resection of prostate in the treatment of patients with benign prostatic hyperplasia can effectively reduce the trauma, improve clinical symptoms, reduce postoperative complications, promote the rehabilitation of patients, and improve the quality of life. Besides, it has little influence on the sexual function.
Key words:
Benign prostatic hyperplasia; Transurethral plasma kinetic resection of prostate (PKRP); Transurethral resection of prostate; Symptom; Sexual function