关键词: 良性前列腺增生, 经尿道双极等离子前列腺剜除术, 并发症

Abstract:

 【Abstract】Objective To investigate the clinical efficacy of transurethral  bipolar plasma kinetic enucleation of prostate(TUPKEP) for the treatment of benign prostatic hyperplasia (BPH). Methods The clinical data of 368 cases with BPH treated with TUPKEP were analyzed retrospectively. Results The operations were completed in all cases. The operation time was 55.1±19.2 min, the blood loss was 88±26 mL, the resected prostate tissues weight was 60.5±26.3 g, the catheter retention time was 4.8±1.3 days and the postoperative hospitalization time was 5.9±1.8 days. The perforetion of the prostatic capsule happened in four cases..Among them,1 case occurred perforation in the bladder -prostate junction and the abdominal drainage was performed. Thirty -eight patients had mild urinary incontinence,.12 patients had stress incontinence..No permanence incontinence happened. Five cases had bladder neck contracture and six cases needed blood transfusion during operation. Eighty -six cases had retrograde ejaculation and 10 cases had urethral stenosis,39 cases had erectile dysfunction .(ED)..No TUR syndrome happened and no re -operation was performed in these cases. There were statistical significances of IPSS, QOL, PVR and Qmax between pre -operation and post -operation. Conclusion TUPKEP has advantages in operation time,.bleeding,.post -operative hospitalization time,the mean bladder irrigating time and few complications and it is an effective and safe therapy for BPH. Complications of TUPKEP are controllable and preventable.

Key words: Benign prostatic hyperplasia, Transurethral bipolar plasma kinetic , enucleation , of prostate, Complications