Plasmakinetic vapor enucleation of the prostate with button electrode versus plasmakinetic resection of the prostate for benign prostatic enlargement > 90mL: perioperative and 3-month follow-up results of a prospective, randomized clinical trial
Objective: To evaluate plasmakinetic vapor enucleation of the prostate (PVEP) with button electrode and plasmakinetic resection of the prostate (PKRP) in patients with urinary symptoms due to benign prostatic enlargement (BPE)>90ml.Methods: A total of 112 patients with symptomatic BPE were randomly assigned to either PKRP or PVEP prospectively from August 2012 to May 2014 in our department.Perioperative and postoperative data were investigated during a 3-month fo llowup.Results: PVEP was significantly superior to PKRP in terms of operation time (63.9±7.7 mins vs 78.1±13.6 mins, p<0.001), hemoglobin loss (1.18±0.30 g/dl vs 1.63±0.38 g/dl, p<0.001), serum sodium decrease (2.9±0.7 mmol/1 vs 4.3±0.8mmol/l, p<0.001), catheterization duration (49.3±12.2 hours vs 78.1±14.8 hours, p <0.001) and hospital stay (100.2±28.3 hours vs 116.0±29.2 hours, p=0.004).There were no statistical differences in blood transfusion between two groups.In addition, there were no statistical differences in maximum urinary flow rate, International Prostate Symptom Score, post-void residual urine volume, quality of life score, transient incontinence and urethral stricture at 3 months postoperatively.Conclusions: PVEP with button electrode is an equally effective technique for treatment of large BPE with PKRP, with more safety and faster recovery.It may become the superior alternative to PKRP for patients with large BP E.
Benign prostatic enlargement (BPE) Plasmakinetic vapor enucleation of the prostate (PVEP) Button electrode Plasmakinetic resection of the prostate (PKRP)
Keqin Zhang Dingqi Sun Hui Zhang Qingwei Cao Qiang Fu
Department of Urology, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, Shandong, People”s Republic of China
国内会议
济南
英文
108-121
2016-09-03（万方平台首次上网日期，不代表论文的发表时间）