To explore the application effect of fast track surgery (FTS) concept in the perioperative period of transurethral plasma kinetic electrovaporization resection of prostate (TPKRP) in elderly patients with benign prostatic hyperplasia.

136 elderly patients with prostatic hyperplasia treated with TUPKP admitted to the Third People’s Hospital of Honghe Prefecture from March 2019 to September 2020 were selected. Among them, 68 patients received routine nursing during perioperative period (control group), and the other 68 patients received FTS concept nursing intervention on the basis of the control group (observation group). The postoperative rehabilitation and complications of the two groups were observed and compared. T test and χ² test were used for the comparison of measurement data and counting data between groups, respectively.

The bladder flushing time, catheter retention time, exhaust time and hospital stay in the observation group were significantly shorter than those in the control group(t=41.078, 10.295, 19.852, 44.851, P < 0.05), and the bladder spasm score, quality of life score and pain number score in the observation group were significantly lower than those in the control group (t=14.005, 3.444, 7.080, P < 0.05). The incidence of complications such as bleeding, urinary tract infection, bladder spasm and shivering in the observation group was significantly lower than that in the control group (χ²=6.276, 5.849, 5.830, 4.781, P < 0.05).

The FTS concept can promote the postoperative rehabilitation of elderly patients with prostatic hyperplasia undergoing TUPKP and reduce the incidence of postoperative complications.