title: [Transurethral bipolar plasmakinetic enucleation and resection versus transurethral bipolar plasmakinetic resection of the prostate for BPH: a randomized controlled trial on the incidence of postoperative urinary incontinence].
abstract: OBJECTIVE
  To compare the incidence rates of postoperative urinary incontinence between transurethral bipolar plasmakinetic enucleation and resection of the prostate (PKERP) and transurethral bipolar plasmakinetic resection of the prostate (PKRP), and provide evidence for the clinical application of PKERP.
  
  
  METHODS
  Totally, 180 BPH patients were equally and randomly assigned to undergo PKERP and PKRP, respectively. We measured the urinary incontinence of the patients by pad test at 24 hours after extubation and every week after surgery for 4 weeks. Meanwhile, we recorded and compared the PSA level, prostate volume, Qmax, residual urine, IPSS, QOL, and the results of pad test between the two groups before and after surgery.
  
  
  RESULTS
  The incidence rates of urinary incontinence in the PKERP and PKRP groups were 35.56% and 18.89% (P < 0.01) at 24 hours after extubation, 20.00% and 7.78% at 1 week after surgery (P < 0.05), and 3.33% and 2.22% at 2 weeks. There was no significant difference in the severity of urinary incontinence between the two groups at any time point (P > 0.05). No permanent urinary incontinence was observed in either group.
  
  
  CONCLUSIONS
  Compared with PKRP, PKERP has a higher incidence rate of short-term urinary incontinence in the treatment of BPH, but not that of genuine incontinence, with similar severity and recovery time.
authors: Department of Urology, Zhujiang Hospital, Nanfang Medical University, Guangzhou, Guangdong 510280, China. junfengliu-03@tom.com
authors: Jun-Feng
authors: JF
authors: Liu
authors: Department of Urology, Zhujiang Hospital, Nanfang Medical University, Guangzhou, Guangdong 510280, China.
authors: Chun-Xiao
authors: CX
authors: Liu
authors: Department of Urology, Inner Mongolia People's Hospital, Hohhot, Inner Mongolia 010020, China.
authors: Zhao-Hui
authors: ZH
authors: Tan
authors: Department of Urology, Inner Mongolia People's Hospital, Hohhot, Inner Mongolia 010020, China.
authors: San-Xiang
authors: SX
authors: Li
authors: Department of Urology, Inner Mongolia People's Hospital, Hohhot, Inner Mongolia 010020, China.
authors: Xing-Zhi
authors: XZ
authors: Li
authors: Department of Urology, Inner Mongolia People's Hospital, Hohhot, Inner Mongolia 010020, China.
authors: Ning
authors: N
authors: Chi
mesh_terms: D000368:Aged; D006801:Humans; D015994:Incidence; D008297:Male; D011183:Postoperative Complications / Q000453:epidemiology*; D011470:Prostatic Hyperplasia / Q000601:surgery*; D016037:Single-Blind Method; D020728:Transurethral Resection of Prostate / Q000009:adverse effects* / Q000379:methods*; D014549:Urinary Incontinence / Q000453:epidemiology*