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Did prostate size affect the complication and outcome of plasmakinetic enucleation of the prostate?

  • Urology - Original Paper
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Abstract

Objective

To evaluate surgical complications and outcomes based on prostate size in patients with benign prostatic hyperplasia (BPH) treated with plasmakinetic enucleation of the prostate (PKEP).

Methods

A retrospective review was conducted of PKEP performed between July 2008 and January 2013. According to the prostate size on preoperative transrectal ultrasonography measurement, patients were divided into three groups: group 1: <40 ml, group 2: 40–80 ml and group 3: >80 ml. Baseline, perioperative and postoperative data were obtained.

Results

There were significant differences among the three groups regarding the mean operative time (p < 0.001) and the mean resected tissue weight (p < 0.001). But enucleation efficiency (p < 0.001) in gm tissue per minute increased significantly as prostate size increased. Mean hemoglobin 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. The three groups had a similar and significant postoperative improvement in International Prostate Symptom Score, quality of life, maximum uroflow rate and post-void residual urine volume independent of prostate size (p < 0.001), but no significant difference was found among three groups at the 12-month follow-up (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.

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Abbreviations

BPH:

Benign prostatic hyperplasia

LUTS:

Lower urinary tract symptoms

TURP:

Transurethral resection of the prostate

TURS:

Transurethral resection syndrome

PKEP:

Plasmakinetic enucleation of the prostate

DRE:

Digital rectal examination

TRUS:

Transrectal ultrasonography

IPSS:

International Prostate Symptom Score

QOL:

Quality of life

Qmax:

Maximum uroflow rate

PVR:

Post-void residual urine volume

PSA:

Prostate-specific antigen

HoLEP:

Holmium laser enucleation of the prostate

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Acknowledgments

This study was supported by Hunan Provincial Science and Technology Department (Grant Number 2008FJ3196 and 2013FJ6042).

Author information

Authors and Affiliations

  1. Department of Urology, The Second Hunan Provincial People’s Hospital, Hunan Traditional Chinese Medical University, Changsha, 410007, Hunan Province, China

    Jian-Ming Rao, Yi-Xin Ren, Ping Ding, Jiang He, Yong-Li Yan & Jing-Hua Yang

  2. Department of Urology, The Third Affiliated Hospital of SUN Yat-sen University, Guangzhou, 510630, Guangdong Province, China

    Heng-Jun Xiao

  3. Department of Urology, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan Province, China

    Jin-Rui Yang

Authors
  1. Jian-Ming Rao
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  2. Heng-Jun Xiao
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  3. Yi-Xin Ren
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  4. Ping Ding
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  5. Jiang He
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  6. Yong-Li Yan
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Corresponding author

Correspondence to Jin-Rui Yang.

Additional information

Heng-Jun Xiao is the co-first author.

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Rao, JM., Xiao, HJ., Ren, YX. et al. Did prostate size affect the complication and outcome of plasmakinetic enucleation of the prostate?. Int Urol Nephrol 46, 2063–2070 (2014). https://doi.org/10.1007/s11255-014-0786-y

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  • DOI: https://doi.org/10.1007/s11255-014-0786-y

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