Preliminary study of the transurethral plasmakinetic rsection of prostate joint enucleation to treat the benign prostatic hyperplasia

Objective:To investigate the feasibility of transurethral plasma rsection of prostate(PKRP)joint transurethral plasmakinetic enucleation of prostate(PKEP)to treat the benign prostatic hyperplasia(BPH).Method:Twenty-eight cases of patients with benign prostatic hyperplasia were studied:the average age 72.4years(6283years);the size of the prostate 45-105g,means(68.5±10.5)g;15cases of merger urinary retention;Maximum flow rate 0-12ml/s,means(4.7±2.3)ml/s;IPSS score(24.5±4.3).Implanta prostate plasma resectoscope,routine remove of the mid,left and right side of the prostate tissue(no need to cut to the capsule),remove the prostate tissue at 6o'clock of verumontanum to find the capsule,resect the middle,left and right side of the leaf in the way of enucleation,stop conducting when enucleation is diffcult and resect the tissue stripped.Finally,gradually resect the not yet stripped prostate tissue in boundary of the capsule.Result:Twenty-eight patients were successfully operated.Postoperative hospitalization time is 6-7days.All the patients urinated well after extubation.Postoperative maximum flow rate was 20-36ml/s,means(28.4±5.2)ml/s.IPSS score was(4.5±2.1) minutes.There was a significant difference compared with the preoperative(P0.01).Conclusion:The transurethral plasma rsection of prostate joint enucleation is safe and effective.It is particularly suitable for the doctor not yet mastered the enucleation of the prostate.