Introduction to plasma electrosurgery of the prostate for patients with prostatic hyperplasia

  Prostatic hyperplasia (BPH) is a common and frequent disease in elderly men, and with the advent of an aging population, the incidence of BPH is increasing year by year, causing a series of difficult urinary symptoms in elderly men, and a relative increase in the number of patients with combined cardiovascular disease, diabetes, and hyperlipidemia. The fact that minimally invasive transurethral resection of the prostate (TURP) has been introduced has greatly reduced surgical complications and mortality, and TURP is now set as the gold standard for the treatment of prostate hyperplasia.  The reason why we should choose plasmapheresis of the prostate is because of its advantages It avoids the occurrence of TURS, an electrodesiccation syndrome. Because of the use of saline as a flushing solution, the occurrence of dilutive hyponatremia is avoided, basically no TURS occurs, less restricted by the size of the prostate volume, which relatively prolongs the surgical cutting time, extends the surgical indications, reduces the surgical risks, and facilitates a more complete removal of the hyperplastic prostate tissue.  2. Shorten the patient’s post-operative recovery time. Due to the limited thermal penetration of plasma electrodes, there is less charring of the cut surface and less damage to the surrounding tissues, which reduces postoperative bladder irritation. Since there is no heat conduction effect, no electric current passes through adjacent organs and tissues, therefore, there is no damage to tissues, the chance of closed nerve reflexes is reduced, and the patient’s urinary tract irritation symptoms are less severe. The postoperative flushing time and indwelling urinary catheter time are significantly shorter than those of the vaporization electrodesection group, which shortens the patient’s postoperative recovery time.  3. Less intraoperative and postoperative bleeding. Because of the bipolar circuit and low temperature cutting, the temperature of the tissue cutting surface is only 40-70℃, plus the very limited heat transmission, electrocoagulation tissue whitening, very little charring, reducing intraoperative bleeding and postoperative joga shedding resulting in rebleeding.  4.Improved the detection rate of incidental prostate cancer. Since the surface temperature of the cut target tissue is 40-70°C, there is less tissue evaporation, which is conducive to histopathological examination. Compared with prostate vaporization electrosurgery, plasma electrosurgery double ring is relatively smaller, the cut tissue is smaller and finer, and there is basically no charring on the cut surface, which makes it easier to detect incidental prostate cancer.   However, bipolar plasmaplasty has better advantages in terms of intraoperative and postoperative complications. The actual fact is that the actual procedure is a good way to get the most out of a person’s life. It is safer and more effective than conventional prostate electrosurgery in the treatment of benign prostatic hyperplasia, and can be performed on patients with high-risk prostate hyperplasia. Our department has been performing electrodesiccation of the prostate for more than a decade. We welcome all elderly patients with prostate hyperplasia to visit our clinic to make a decision on whether to undergo plasmaplasty or oral medication based on an evaluation of their next treatment plan.