Benign Prostate Hyperplasia
Conditions
Brief summary
The investigators hypothesize that Plasmakinetic Enucleation of the Prostate (PkEP) might yield functional results comparable to OP but with lower perioperative morbidity, and have equivalent long-term efficacy with OP for large prostates. The first objective was to demonstrate the non-inferiority of PKEP compared to OP concerning Qmax at one year postoperatively. To explore the long-term efficacy, we compared the efficacy, safety, and morbidity of PkEP with those of OP in BPH patients with prostate glands larger than 100 g over a follow-up period of 6 years.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* •Qmax \< 12 mL/s, IPSS \>19 * Age between 50 and 70 years * Prostate volume larger than 100 mL, as determined by TRUS post-void residual urine volume greater than 50 ml medical therapy failure.
Exclusion criteria
* •severe pulmonary disease or heart disease, coagulopathy, neurogenic bladder, bladder calculus, bladder cancer, prostate cancer, urethral stricture and previous prostate or urethral surgery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Qmax at one year postoperatively | 1 year postoperatively |
Secondary
| Measure | Time frame |
|---|---|
| resected adenoma weight | right after the operation |
| operation time | during the operation |
| blood loss | perioperatively and on the first postoperative day |
| postoperative International Prostate Symptom Score | 1, 3, 6, 12, 24, 36, 48, 60 and 72 months postoperatively |
| Qmax at other time points after surgery | 1, 3, 6, 24, 36, 48, 60 and 72 months postoperatively |
| length of postoperative hospital stay | after the operation |
| QOL | 1, 3, 6, 12, 24, 36, 48, 60 and 72 months postoperatively |
| PVR | 1, 3, 6, 12, 24, 36, 48, 60 and 72 months postoperatively |
| duration of catheterization | after the operation |
Countries
China