Experience of continence-preserving technique in transurethral plasmakinetic enucleation of the porstate

Objective To assess the effect of continence-preserving technique in transurethral plasmakinetic enucleation of the porstate. Methods The clinical data of 35 patients who received modified transurethral plasmakinetic enucleation of prostate to protect urinary control function in Bengbu Second People's Hospital from March 2017 to May 2018 were retrospectively analyzed, and the technique of protecting urinary control function was applied during the operation. The incidence of urinary incontinence at 24 h after removal of the urinary catheter, 1 week and 1 month after operation were collected, and score of quality of life (QOL)， international prostate symptom score (IPSS) and post-void residual (PVR) before and 3 months after surgery were compared. Results The operation time was (90.6±45.2) min, the prostate tissue volume was (66.3±32.2) mL, the blood loss was (42.5±10.5) mL, the bladder irrigation time was (35.5±7.5) h, the catheter indwelling time was 7 days, and the postoperative hospital stay was (8.5±2.5) d. There were no cases of electrosurgical excision syndrome, no bladder perforation, no conversion to open surgery, and no blood transfusion. The average incidence of urinary incontinence in 35 patients at 24 h after removal of the urinary catheter, 1 week and 1 month after operation were 11.4%, 2.8% and 0.0% respectively, which were significantly lower than the average incidence of urinary incontinence (22.4%-43.1%) reported in literature. After 3 months of follow-up, urination was significantly improved compared with that before operation, the score of quality of life (QOL)， international prostate symptom score (IPSS) and post-void residual (PVR) also had significant difference between that before and after operation (all P＜0.05). Conclusion To treat benign prostatic hyperplasia patients with transurethral plasmakinetic enucleation of the porstate with improved continence-preserving technique showed better void in results and lower incidence of urinary incontinence after operation, which is worthy of clinical popularizing.