To investigate the short-term efficacy and safety of transurethral columnar ballon prostata enlargement in elderly patients with high-risk benign prostatic hyperplasia.

Eighty-two elderly patients with high-risk benign prostatic hyperplasia in Linfen People’s Hospital from July 2016 to July 2018 were divided according to surgical methods. The observation group (52 cases) underwent transurethral columnar balloon expansion, and the control group (30 cases) underwent transurethral resection of the prostate. The operation time, intraoperative blood loss, surgical complications, urinary flow rate, post-void residual (RVR), international prostate sympton score (IPSS), and quality of life (QOL) scores before and after surgery were compared between the two groups.

The operation time of the observation group was significantly shorter than that of the control group (P<0.05). The intraoperative blood loss and hospitalization cost of the observation group were significantly lower than those of the control group (P<0.05). Compared with preoperative index, the maximum urinary flow rate (Qmax) of the two groups was significantly increased 3 months after treatment, and the PVR, IPSS and QOL levels were significantly lower (P<0.05). There was no significant difference in the levels of Qmax PVR, IPSS or QOL between the two groups 3 months after operation (P>0.05). There was no significant difference in the incidences of postoperative acute urinary retention, urinary drip/micturition or erectile dysfunction between the two groups after operation (P>0.05). The incidences of urinary incontinence, cardiopulmonary complications and retrograde ejaculation in the observation group were significantly lower than those in the control group (P<0.05).

In the treatment of elderly patients with high-risk benign prostatic hyperplasia, transurethral columnar balloon prostate enlargement has the advantages of small trauma, simple operation, remarkable curative effect and good safety. It is an ideal surgical procedure for treating high-risk benign prostatic hyperplasia.

Benign prostatic hyperplasia; Advanced age; Transurethral columnar balloon prostate enlargement