The relationship between TURP, PKEP and postoperative rehabilitation and urinary function in patients with BPH and the effect on testosterone and PSA level
Objective To analyze the clinical efficacy of transurethral resection of the prostate(TURP) and transurethral plasma kinetic resection of the prostate(PKEP) in the treatment of benign prostate hyperplasia(BPH) patients, and the relationship between postoperative rehabilitation, urinary function and testosterone and prostate specific antigen(PSA) levels. Methods From April 2017 to April 2019,100 patients with BPH admitted to our hospital and Huashan hospital affiliated fudan university were randomly divided into observation group and control group,the control group was treated with TURP, and the observation group was treated with PKEP. The patient's urinary function was performed before and after treatment. The patients were assessed for prostate symptoms and quality of life using the IPSS criteria, Qmax and QOL. Postoperative bleeding, bladder irritation, urethral stricture and capsule were recorded. The incidence of complications such as perforation, serum testosterone and PSA levels were measured before and after treatment. Results The incidence of postoperative urinary incontinence in the observation group was significantly lower than that in the control group (P<0.05). After treatment, the IPSS score and the amount of urine involved in the observation group were significantly lower than those in the control group, and Qmax was significantly higher than the control group (P<0.05). The quality of life in the observation group was significantly lower than that in the control group (P<0.05). The T and PSA levels in the observation group were significantly lower than those in the control group after treatment (P<0.05). The total incidence of postoperative complications in the observation group was significantly lower than that in the control group (P<0.05). Conclusions Compared with TURP, BPH patients treated with PKEP can help their postoperative recovery and urine control capacity, and significantly reduce their blood T and PSA levels.