Transurethral Plasma Resection of the Prostate (PKRP) has the potential to challenge the current gold standard in the treatment of prostate enlargement, Transurethral Plasma Resection of the Prostate (TPPR), as the new gold standard in the treatment of prostate enlargement. Transurethral plasma electrosurgery of the prostate (PKRP) is a safe procedure with few complications and definitive results. The advantages of transurethral plasma bipolar electrosurgery compared with traditional prostate electrosurgery (TURP) and prostate vaporization electrosurgery (TUVP) are as follows During the TURP procedure, the operator needs to always recognize the prostate surgical envelope to avoid cutting through the envelope. Perforation of the peritoneum can open the venous plexus, and a large amount of non-ionic flushing fluid enters the circulatory system, and in severe cases, dilutional hyponatremia occurs, endangering the patient’s life. Beginners of TURP are often unable to accurately determine the peritoneum of the prostate, resulting in perforation of the peritoneum, which increases the risk of surgery.PKRP system has a unique target tissue identification function, when the electrodesiccation ring is in contact with the peritoneum, the energy automatically becomes smaller, cutting stops, thus protecting the peritoneum and reducing the difficulty of intracavitary electrodesiccation and the risk of surgery. 2.Low temperature operation, less damage to the surrounding tissues and less irritation to the bladder.The surface temperature of the target tissues during PKRP cutting is 40℃～70℃, which is much lower than the working temperature of TURP or TUVP, so PKRP cutting has less thermal damage to the surrounding tissues, and the thermal damage to the erectile nerves is lower than that of TURP or TUVP, which theoretically helps to protect the patient’s sexual function. 3.Bipolar plasma has its own current circuit, which seldom causes closed-cell nerve reflex during the operation. 4.Hemostasis during operation is good, and secondary bleeding after operation is less. Transurethral resection of the prostate (TURP) or transurethral pneumatic resection of the prostate (TUVP) produces high temperature through direct contact with the tissue to cause coagulation and necrosis of the surrounding tissues, the thickness of the coagulation layer of TURP is relatively thin, with a poor haemostatic effect, and the coagulation layer of TUVP is relatively thick, the coagulation of necrotic tissues during the recovery period may be easily dislodged, resulting in secondary hemorrhage, and the uniform coagulation layer of lmm or so in the surface of tissues is formed during the cutting of PKRP, which can stop bleeding during surgery. When PKRP cuts, a uniform coagulation layer is formed on the tissue surface at a depth of about lmm, the intraoperative hemostatic effect is better than that of TURP, and the coagulation layer will not be dislodged, so the chances of postoperative secondary hemorrhage are less than that of TUVP. 5. The use of saline as a rinsing solution reduces the incidence of transurethral electrolysis syndrome (TURS). Clinically, for oversized prostate or those who are expected to be cut for more than 60 minutes, in order to avoid the occurrence of dilutional hyponatremia, open surgery is often chosen, which increases the patient’s pain and prolongs the hospital stay.The emergence of PKRP solves the problem, and the tissue cutting mechanism is different from that of TURP, the working electrode and circuit electrode of PKRP are located in the electrocutaneous ring, and the electric current passes through the working electrode and the circuit electrode The working electrode and the loop electrode generate a circuit, release radiofrequency energy, saline into a plasma area around the electrode, high-speed movement of the ionized particles will target tissues to interrupt the organic molecular bonds, resulting in vaporization and cutting effect, so that the surface layer of tissue vaporization and vaporization of the layer of lmm-deep tissue homogeneous coagulation, and at the same time, the deeper small arteries, small veins and capillaries to quickly close and play an effective role in hemostasis. Since the rinsing solution for PKRP is saline, dilutional hyponatremia is less likely to occur, prolonging the patient’s time to tolerate the procedure and significantly reducing the incidence of TURS, a serious complication that can potentially lead to patient death. Therefore, patients with prostatic hyperplasia who are at higher risk for TURP treatment can be treated with PKRP.The advent of PKRP has expanded the indications for endoluminal treatment of prostatic hyperplasia.