Sexual function-preserving 450 nm blue laser vaporization in the treatment of benign prostatic hyperplasia: a report of 20 cases
10.3969/j.issn.1009-8291.2023.08.013
- VernacularTitle:保留性功能的450 nm蓝激光汽化术治疗前列腺增生症20例报告
- Author:
Chao MAN
1
;
Xiaohang HAO
1
;
Teng LI
1
;
Yan HU
1
;
Fanzhuo TU
1
;
Wenju GAO
1
;
Zunjie HU
1
;
Haoxing WANG
1
;
Yongwei ZHAO
1
Author Information
1. Urinary Nephropathy Laser Treatment Center, Yingsheng Branch of Taian Central Hospital, Taian 271000, China
- Publication Type:Journal Article
- Keywords:
450 nm blue laser;
benign prostatic hyperplasia;
transurethral recection of the prostate;
sexual function preservation;
retrograde ejaculation
- From:
Journal of Modern Urology
2023;28(8):702-706
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 To explore the effects of sexual function-preserving 450 nm blue laser vaporization of the prostate on the postoperative sexual function of patients with benign prostatic hyperplasia (BPH), and to evaluate the clinical efficacy, safety and feasibility of this procedure. 【Methods】 The clinical data of 20 BPH patients treated in our department during Jan. and Mar.2023 were analyzed. The International Prostate Symptom Score (IPSS), Quality of Life Scale (QoL) score, maximum urinary flow rate (Qmax), residual urine volume (PVR) and International Index of Erectile Function (IIEF-5) data were compared before and after the operation. The operation time, postoperative catheter indwelling time, and hospital stay were recorded. The ejaculation status 2 months after operation was followed up. 【Results】 All 20 patients completed the operation successfully. The operation time was (13.41±4.30) min, catheter indwelling time (1.2±0.4) d, and hospital stay (3.0±0.6) d. The IPSS, QoL, PVR and Qmax data 1 month after operation were significantly improved compared with those before operation (P<0.01). Two months after operation, all patients had sex and ejaculated, and no retrograde ejaculation occurred. The erection function remained unchanged (P>0.05). 【Conclusion】 The modified 450 nm blue laser vaporization of the prostate can improve the urination symptoms of BPH patients while retaining sexual function. It is a safe and feasible technique for BPH patients who have sexual needs, and provides an alternative surgical approach for those looking to preserve sexual function.
