Affect of improve HoLEP and TURP on sexual function and living quality of patients with benign prostatic hyperplasia

Abstract

Objective To study affect of improve holmium laser enucleation of the prostate (HoLEP) and transurethral resection of the prostatic (TURP) on sexual function and living quality of patients with benign prostatic hyperplasia. Methods From January 2015 to January 2017, 124 patients with benign prostatic hyperplasia who received therapy in our hospital were selected as research objects, were divided into observation group and control group according to different methods, control group was given treatment of TURP, observation group was given improved HoLEP surgical treatment. The operation time, intraoperative blood volume, urinary catheter time, postoperative bladder irrigation time and hospital stay time of two groups were compared. The maximal urine flow rate, residual urine level and international prostate symptom score (IPSS), quality of life (QOL) and international index of erectile function 5 (IIEF-5) scores of the two groups were observed after surgery and at 3, 6, 9 and 12 months after operation, the incidence of erectile dysfunction and retrograde ejaculation was observed and the incidence of complications was compared 6-months after operation. Results The intraoper-ative blood volume, urinary catheter time, postoperative bladder irrigation time and hospitalization time were significantly lower than those in the control group(P 0.05), and the maximum urine flow rate of the two groups showed an upward trend at different time points after operation, the maximum urine flow rate in the two groups was higher than that in the control group (P 0.05). The postoperative complications of the observation group were significantly lower than those in the control group (P<0.05). Conclusions Compared with TURP surgery, improved HoLEP in the treatment of benign prostatic hyperplasia can significantly improve the patients quality of life, reduce the postoperative complications, and doesn't increase its influence on postoperative sexual function. Key words: Prostatic Hyperplasia; Transurethral Resection of Prostate; Quality of Life