Comparative outcomes of transurethral resection of the prostate and prostate kinetic resection in treating benign prostatic hyperplasia with prostatic stones

To compare the clinical outcomes of transurethral bipolar plasma enucleation (TBPE) and transurethral resection of the prostate (TURP) in patients with benign prostatic hyperplasia (BPH) complicated by prostatic stones. This retrospective study included 150 patients divided into TBPE (n = 74) and TURP (n = 76) groups. Perioperative data, urodynamic parameters, symptom scores, complications, and sexual function were evaluated up to 6 months postoperatively. TBPE was associated with shorter catheterization and hospital stay, greater improvements in maximum urinary flow rate, post-void residual volume, and International Prostate Symptom Score, fewer complications, less intraoperative bleeding, and better postoperative sexual function (all P < 0.001). Multivariate analysis confirmed TBPE as an independent predictor of favorable outcomes (OR = 12.074, 95% CI: 6.513-22.386, P < 0.001). TBPE demonstrates superior clinical effectiveness and safety over TURP for managing BPH with prostatic stones.