关键词: 高危良性前列腺增生症, 经尿道前列腺电切术, 经尿道前列腺剜除术

Abstract: 【Abstract】〓Objective〓To summarize up the experience of transurethral enucleation of the prostate (TUEP) and compare the clinical effect between transurethral resection (TURP) and TUEP in the treatment of high-risk patients with benign prostatic hyperplasia. Methods〓The data of 80 cases with high-risk patients with benign prostatic hyperplasia from February 2012 to February 2015 were analyzed retrospective, in which 40 cases were performed TUEP (TUEP group) and 40 cases received TURP (TURP group). Results〓The operative time, intraoperative blood loss, postoperative indwelling catheter time of patients in of TUEP group were decreased than those of TURP group (55.4±6.8 min vs 72.5±7.2 min, 195.4±17.3 ml vs 253.7±26.8 ml, 5.2±1.4 d vs 7.3±2.1 d, all P values were less than 0.05), and excised weight were greater than TURP group (69.4±4.2 g vs 55.4±3.7 g, all P values were less than 0.05). Post-operative IPSS, Qmax, PV in TUEP group were significantly improved than those in TURP group 5.4±1.2 vs 8.9±2.0, 22.7±2.3 ml/s vs 17.9±1.8 ml/s, 10.3±2.1 ml vs 16.7±2.3 ml, all P values were less than 0.05). Urinary incontinence, secondary bleeding in TUEP group were lower than that in TURP group (5.0% vs. 17.5%, 2.5% vs 15.0%, all P values were less than 0.05). Conclusion〓Compared with conventional TURP, TUEP was illuminated the better clinical effect. And it conforms to the literature report.

Key words: TUEP, High risk benign prostatic hyperplasia, TURP