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Clinical Effect of Transurethral Plasma Resection of Prostate and Vaporization Resection of Prostate in the Treatment of Benign Prostatic Hyperplasia Complicated with Chronic Prostatitis |
SONG Xiao-lin, WANG Wen-zhen |
Shandong Provincial Third Hospital,Shandong jinan 250031 |
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Abstract 【Objective】To investigate the clinical effect of transurethral plasma resection of prostate and vaporization resection of prostate in the treatment of benign prostatic hyperplasia complicated with chronic prostatitis. 【Methods】A total of 80 patients with benign prostatic hyperplasia complicated with chronic prostatitis treated in Jinan Fifth People's Hospital from August 2018 to August 2020 was randomly divided into observation group (transurethral plasma resection of prostate) and control group (vaporization resection of prostate), with 40 cases in each group. The general conditions of operation and the incidence of complications were observed. The decreased values of hemoglobin (HB) and hematocrit, international prostate symptom (IPSS) score and maximum urinary flow rate (Qmax) were compared between the two groups before and after operation. 【Results】 The total blood loss and average blood loss in the control group were lower than those in the observation group, the difference was statistically significant (P<0.05). There was no significant difference in operation time and total prostate resection between the two groups (P>0.05). The decrease of Hb and hematocrit in the control group were lower than those in the observation group (P<0.001). Six months after operation, the IPSS score of the control group was lower than that of the observation group, and the Qmax was higher than that of the observation group (mean P<0.05). There was no significant difference in the incidence of postoperative bleeding, bladder irritation, urethral stricture and capsule perforation between the two groups(χ2=1.053,P=0.305>0.05). 【Conclusion】 Vaporization electroresection of prostate is effective in the treatment of patients with benign prostatic hyperplasia complicated with chronic prostatitis. It can significantly improve the symptoms of patients without increasing the incidence of complications. It has good application value.
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Received: 17 May 2021
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