To evaluate the effect of the 6-o'clock posterior urethral flap transection technique in transurethral plasmakinetic enucleation of prostate.

The clinical data of patients who underwent transurethral plasmakinetic enucleation of prostate in our hospital from January 2022 to December 2023 were retrospectively analyzed. The patients were divided into two groups according to whether the 6-o'clock posterior urethral flap transection technique was used or not. There were 100 cases in the conventional technique group and 106 cases in the 6-o'clock posterior urethral flap transection technique group, the intraoperative and postoperative outcomes were compared between the two groups.

All cases completed the operation successfully. There was no statistical difference in the baseline data and functional prognosis indicators one month and three months postoperatively between the two groups (P>0.05). However, the 6-o'clock posterior urethral flap transection technique required less operation time than the conventional technique (P<0.001).

The 6-o'clock posterior urethral flap transection technique can reduce the difficulty of surgery, shorten the operation time.