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TRANSURETHRAL BIPOLAR PLASMAKINETIC ENUCLEATION OF THE PROSTATE VERSUS RESECTION OF THE PROSTATE:A COMPARISON OF POSTOPERATIVE URINARY INCONTINENCE
Author(s): 
Pages: 352-354+358
Year: Issue:  3
Journal: Acta Aacademiae Medical Qingdao Universitatis

Keyword:  prostatic hyperplasiatransurethral resection of prostatepostoperative complicationsurinary incontinence;
Abstract: Objective To compare the incidence of postoperative urinary incontinence(PUI)between transurethral bipolar plasmakinetic enucleation of the prostate(TBPEP)and transurethral bipolar plasmakinetic resection of the prostate(TBPRP).Methods This study consisted of 100 patients with benign prostate hyperplasia(BPH),who were equally randomized to TBPEP and TBPRP groups.One-hour urine pad test was adopted as the standard for evaluating urinary incontinence.The urinary incontinence-24 hours and 2weeks after removing the urethral catheter,as well as 1,3and 6months after surgery-in the two groups was observed and compared. Results At 24 hours after pulling out the catheter,the incidence of urinary incontinence in patients in TBPEP group was higher than that in those in TBPRP(χ2=4.110,P<0.05),after 2weeks of removing the catheter,and 1and 3months later,the difference in the incidence of urinary incontinence between the two groups was not significant(P>0.05).No permanent urinary incontinence was recorded in both groups. Conclusion The incidence of postoperative temporary urinary incontinence is higher in patients undergoing TBPEP versus TBPRP,but the incidence of permanent urinary incontinence does not increase.
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