How is acinar enucleation of the prostate used in transurethral electroprostatectomy?

Prostatic hyperplasia (BPH) is a common condition in elderly men and is a common and frequent disease in urology, with progressive difficulty in urination as its main feature, often causing great pain to patients and seriously affecting people’s physical and mental health. Transurethral electrolysis of the prostate is currently the gold standard for the treatment of prostate enlargement. However, because of equipment limitations, the boundaries of the hyperplastic tissue are not easily distinguishable, and intraoperative hemostasis is often not good enough, so the surgical field of vision is unclear, so it is generally not possible to achieve complete removal. The post-operative results, such as the degree of urinary fluency, are worse than open surgery and the recurrence rate will be higher. In addition, there is a greater possibility of damage to the external urethral sphincter for resection of prostate tissue across the seminiferous tuberosity. With conventional TURP instrumentation, the approach is to find the surgical envelope plane of the prostate and then follow this plane by first stripping out the entire prostate, leaving only the bladder neck attached at 4-6 points. This has the advantage of a clear level and complete resection. However, it also has the disadvantages of large stripping area, high possibility of damage to the urethral sphincter, technical difficulty and long learning curve, which is not easy to promote. We used the traditional transurethral resection of the prostate combined with enucleation of the prostate tip, which has the following advantages: the extent of resection is more complete than traditional TURP, and the postoperative effect is equivalent to open surgery. The risk of damage to the urethral sphincter is significantly reduced by limiting the extent of enucleation to the tip. And because it is a combination of both methods, the surgical field is relatively clear and the learning curve is significantly shorter than that of transurethral resection of the prostate.