关键词: 前列腺增生, 经尿道前列腺电切术, 老年

Abstract: ［Abstract］ Objective To summarize the experience and record the clinical efficacy of transurethral plasma bipolar resection in the treatment of elderly patients with high risk of benign prostatic hyperplasia. Methods From January 2015 to June 2017，60 consecutive patients with symptomatic obstructive BPH were treated with transurethral plasmakinetic resection prostate. Preoperative and postoperative parameters were recorded and evaluated including International Prostate Symptom Score questionnaire（IPSS），maximum urinary flow rates（Qmax），prostate volume（assessed by transrectal ultrasound），postvoid residual urine volume（PRV）measurement and Quality of life score（QoL）. The operation time and complications were also recorded. Results Median follow-up was 15.68 ± 7.32 months. There were statistically significant differences between baseline and postoperative parameters. Mean Qmax increased from 5.6±4.2 ml/s to 23.2±1.7 ml/s（P<0.001）. Their mean IPSS improved from 22.3 ± 5.6 to 11.6 ± 2.5（P<0.001）and mean QOL improved from 5.01 ± 0.43 to 1.26 ± 0.78（P<0.001）. Urethral stricture developed in 1.6% of patients，respectively. No patient had recurrent BPH symptoms except one case of urethral stricture associated surgery needed further treatment. Conclusion Transurethral plasma bipolar resection of the prostate is a safe and effective treatment for patients with high risk of benign prostatic hyperplasia.

Key words: transurethral resection of the prostate, benign prostatic hyperplasia, the elderly