Abstract: Objective: To compare the distinct of retrograde and anterograde transurethral prostatectomy prostate glands in the apex of the prostate.Methods: From January 2010 to March 2011 rooms, 82 cases of patients with benign prostate hyperplasia with transurethral plasma bipolar electricity cut method(TUPKP), according to the apex of the gland excision of different method of randomly divided into apex of the gland retrograde gouging out except group(the observation group) and groups with line(control group) treatment, and were followed up for 6 to 12 months,average 7.8 months,the analysis of the clinical data compared between the two groups.Results: All the group 82 examples, were performed successfully, with no transit open surgery and massive hemorrhage serious complications. 77 cases with six months were followed-up, of which the observation group in 40 cases, 37 cases in control group. 5 cases were lost from follow-up. The difference form two groups in age composition, duration, preoperative prostate(W), the quality of residual urine output(RUV), international prostate symptoms score(IPSS), the quality of life(QOL) scores, the largest urine flow rate(Q_max) were compared with no statistically significant(P>0.05). The difference from two groups in operation time, removing tissues and postoperative hospitalization time were statistically significant(P>0.05). The two groups in June IPSS, QOL, RUV and Q_max compares were statistically significant(P<0.05).Conclusions: In transurethral resection of the prostate, the apex of the glands in the gouge retrograde approach is better than anterograde apporoach.