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• W551009 abstract "Objective To evaluate therapeutic effect and reliability of bipolar transurethral plasmakinetic prostatectomy (TUPKP) for high risk level binign prostatic hyperplasia (BPH). Methods A total of 230 cases of high risk of BPH were treated with TUPKP. Among them, 132 cases with the residual urine of 40 to 420 ml had accepted long term hut inefficient medical therapy, 98 cases were suffered with repeating acute urinary retention. One hundred and seventy-three cases with the functional capacity > 4 MET were performed the standard transurethral resection of the prostate (TURP), the other 57 cases with the functional capacity <4 MET were accepted the minimally invasive TURP. Among them 12 cases complicated with bladder stones accepted Ho: YAG lithotripsy priory. The international prostate symptom score (IPSS), The maximal urinary flow rate (Qmax) and residual urine of the 2 groups before and after operation were analyzed. Results There was no trensurethral resection syndrome occurred in both groups. After 3 to 12 months of follow-up postoperatively, the IPSS of the two groups were reduced from (21.9±5.7) and (23.7 ±5.0) to (4.4±2.3) and (5.5±2.4), residual urine were reduced from (61.8±18. 4) ml and ( 103.9 ±77.3) ml to ( 13.0±6.2) ml and ( 15.8±6.1 ) ml, respectively. The Qmax was increased from (5.7 ± 3.0) ml/s and (4. 8±2. 8) ml/s to (20.9±6.3) ml/s and (16.8±3.9) ml/s, there existed significant differences (P<0. 01 ). However the IPSS, Qmax and residual urine of the standard group had progressed more obviously than the minimally invasive TURP group ( P <0.05 ). Conclusions h is safe and effective to use TUPKP for treating high risk patients of BPH with classic TURP and minimally invasive TURP according to different functional capacity. When the functional capacity is more than 4 MET, the standard procedures is prefered.Key words: Prostatic hyperplasia; Transurethral resection of prostate; Treatment outcome" @default.
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• W551009 date "2009-04-01" @default.
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• W551009 title "The clinical observation of bipolar transurethral plasma kinetic resection of prostate for high risk benign prostate hyperplasia" @default.
• W551009 doi "https://doi.org/10.3760/cma.j.issn.0529-5815.2009.07.020" @default.
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