Plasmakinetic enucleation of the prostate: the complication and outcome according to the prostate size

Abstract

Objective To evaluate surgical complications and outcomes based on prostate size in patients with benign prostatic hyperplasia (BPH) treated with plasmakinetic enucleation of prostate (PKEP). Methods A retrospective review was conducted of PKEP performed in 326 patients with BPH. According to the prostate size on preoperative transrectal ultrasonography measurement, patients were divided into three groups: group 1: 80 ml (n=79). Intraoperative and perioperative parameters were evaluated. Patient perioperative data and postoperative outcomes were compared. Patients were followed up at 1, 3, 6 and 12 months after surgery. Early and late complications were recorded. Results There were significant differences among three groups regarding the mean operative time (P 0.05), mean serum sodium decrease (P>0.05), mean postoperative irrigation time (P>0.05), mean catheter time (P>0.05) and mean hospital stay (P>0.05) did not differ significantly among three groups. Three groups had a similar and significant postoperative improvement in international prostate symptom score (IPSS), quality of life (QOL), maximum urine rate (Qmax), and post-void residual urine volume(PVR) independent of prostate size (P 0.05). Perioperative and postoperative complications did not depend on prostate size (P>0.05). Conclusions Although patients with a larger BPH required significantly longer operation time in PKEP, prostate size did not affect perioperative and postoperative complications or micturition improvement. Key words: Prostate; Prostatic hyperplasia/SU; Transurethral resection of prostate