Plasmakinetic Enucleation of the Prostate to Treat Benign Prostatic Hypertrophy Patients With Large Prostate
Plasmakinetic Enucleation of the Prostate to Treat Benign Prostatic Hypertrophy Patients With Large Prostate
The goal of this study is to compare the perioperative and postoperative characters of
 plasmakinetic enucleation of the prostate(PkEP) with bipolar TURP(B-TURP) for BPH patients
 with large prostate.
Despite the availability of numerous minimally invasive alternatives, monopolar transurethral
 resection of the prostate (TURP) remains the most frequently performed operation for benign
 prostatic hypertrophy (BPH) with small to moderate size prostates. Nevertheless, TURP for
 large prostates is associated with various complications and unsatisfactory long-term
 results. B-TURP and PkEP have both been proved to have more favorable postoperative outcomes
 than monopolar TURP. But whether B-TURP or PkEP is better remain controversial. We aim to
 compare the perioperative and postoperative characters of PkEP with B-TURP for BPH patients
 with large prostate. Moreover, we evaluate the long-term results of both approaches.
Inclusion Criteria:

 -  Qmax < 10 mL/s, IPSS >19

 -  Age between 50 and 70 years

 -  Prostate volume between 70 and 200 mL, as determined by TRUS, and medical therapy
 failure.

 Exclusion Criteria:

 -  Patients with neurogenic bladder

 -  Urethral stricture

 -  Bladder tumor

 -  Prostate cancer and previous prostate bladder neck

 -  Urethral surgery

 -  PSA>4ng/ml, or receiving prostate biopsy within 3 months