Efficacy of 450 nm blue laser with 6 o’clock positioning in the treatment of middle lobe hyperplasia of prostate
10.3969/j.issn.1009-8291.2024.04.007
- VernacularTitle:450 nm蓝激光半导体治疗机6点位置定位法治疗中叶增生型良性前列腺增生的疗效观察
- Author:
Fanzhuo TU
1
;
Xiaohang HAO
1
;
Yan HU
1
;
Zunjie HU
1
;
Song LI
2
;
Wenju GAO
1
;
Fei LIU
1
;
Haoxing WANG
1
;
Yongwei ZHAO
1
Author Information
1. Urinary Nephropathy Laser Treatment Center, Yingsheng Branch of Taian Central Hospital, Taian 271000
2. Department of Urology, Huaihe Hospital, Henan University, Kaifeng 475000, China
- Publication Type:Journal Article
- Keywords:
450 nm blue laser;
prostate vaporescetion;
6 o’clock positioning;
middle lobe hyperplasia of prostate;
benign prostatic hyperplasia
- From:
Journal of Modern Urology
2024;29(4):320-323
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 To investigate the efficacy and safety of 450 nm blue laser with 6 o’clock positioning in the treatment of middle lobe hyperplasia of prostate, in order to promote the clinical application of this surgery. 【Methods】 Clinical data of 20 patients with middle lobe hyperplasia of prostate treated with 450 nm blue laser with 6 o’clock positioning during Mar.and Aug.2023 were retrospectively analyzed.The operation time, postoperative bladder irrigation time, catheter indwelling time, hospital stay, and complications were recorded.The maximum urinary flow rate (Qmax), post-void residual volume (PVR), quality of life scale (QoL), international prostate symptom score (IPSS) before surgery and 1 month after surgery were compared. 【Results】 The operation time was (26.80±7.22) min, and bladder irrigation time was (20.50±1.79) h.The catheter was removed on the next day after surgery and all patients were discharged 2 days after operation.Compared to preoperative, one month after surgery, the Qmax [(7.40±1.05) mL/s vs.(19.60±1.76) mL/s] was significantly higher, PVR [(73.50±12.26) mL vs.(9.25±4.94) mL], QoL [(4.55±1.19) vs.(1.95±0.95)], and IPSS [(26.55±1.88) vs.(10.05±1.36)] were significantly lower, the differences being statistically significant (P<0.05).No complications occurred during operation and 1-month follow-up. 【Conclusion】 The 450 nm blue laser with 6 o’clock positioning is a new, safe and effective surgical treatment of middle lobe hyperplasia of prostate, which is worthy of clinical promotion and application.
