The comparative study of TURP and SPPC in the treatment of elderly patients with benign prostatic hyperplasia

Abstract

Objectives To compare the clinical effect of transurethral resection of prostate (TURP) and suprapublic transvesical prostatectomy (SPPC) clinical in the treatment of elderly patients with hyperplasia of prostate. Methods 70 cases of senile patients with benign prostatic hyperplasia(BPH) were divided into TURP group(n=35) and SPPC group(n=35). Results There was not statistical significance in excision prostate weight of perioperative indicators between the two groups(P>0.05), and the operation time, intraoperative blood loss, bladder douche time, catheter indwelling time and hospital stay in TURP group were significantly less than the SPPC group(P<0.01). Two groups of patients with Compared with preoperative values, postoperative IPSS, QOL and PVR significantly reduced (P<0.05), the MFR was significantly higher than before operation (P<0.05). IPSS, QOL and PVR in TURP group were significantly lower than SPPC group after 3 months and 12 monthsP<0.01). Blood transfusion in the SPPC group was not performed, 2 cases of blood transfusion in the TURP group were performed. Bladder spasm in SPPC group happened and 3 cases of incision infection and bladder spasm occured in SPPC group, only 2 cases of bladder spasm happened in TURP group and without incision infection, a few patients with cutting syndrome, postoperative urethral stricture, postoperative complications such as temporary incontinence and urinary extravasation occured in TURP group. Conclusions When medical environment is perfect, TURP and SPPC in the treatment of elderly patients with BPH is safety, efficacy and security, and worth clinical promotion. Key words: Prostatic Hyperplasia; Transurethral Resection of Prostate; Urinary Bladder; Electrosurgery