Comparative Analysis of Rapid Transurethral and Reverse Sequential Resection with Plasma Excision Equipment for BPH Treatment

Objective: To compare the rapid transurethral sequential excision and reverse sequential excision combined with plasma excision equipment for BPH treatment of benign prostatic hyperplasia (BPH) and traditional transurethral resection of prostate (TURP) in patients with BPH. Methods: The study conducted at the Department of Urology, the First Affiliated Hospital of Jinzhou Medical University, aimed to compare the efficacy of two surgical approaches for treating benign prostatic hyperplasia (BPH) with traditional transurethral resection of the prostate (TURP). From October 2021 to October 2023,128 BPH patients were divided into two groups: 64 underwent rapid transurethral sequential excision and reverse sequential excision combined with plasma excision equipment, while the other 64 underwent TURP. Results: The excision weight was higher, and intraoperative blood loss was lower in the group using plasma excision equipment compared to TURP. Additionally, this group experienced shorter procedure times, less bladder irrigation, catheterization duration, and shorter hospital stays (P < 0.05). Postoperative follow-up at three months revealed significant improvements in the International Prostate Symptom Score (IPSS) and Overactive Bladder Score (OABSS) in both groups, with greater improvement in the plasma excision equipment group (P < 0.05). At one- and three-months post-surgery, bladder function, urodynamics, and bladder compliance were compared between the groups. The plasma excision equipment group showed better bladder compliance and urinary flow rates than the TURP group, while residual urine volume was higher in the plasma excision equipment group (P < 0.05). Conclusion: rapid transurethral sequential excision and reverse sequential excision combined with plasma excision equipment demonstrated superior perioperative indicators, treatment efficacy, preservation of erectile function, and improvement in urodynamics compared to traditional TURP for BPH treatment.