Clinical application of transurethral 450 nm blue laser vaporization in the treatment of benign prostatic hyperplasia in district hospitals
10.3969/j.issn.1009-8291.2024.04.008
- VernacularTitle:区级医院开展经尿道450 nm蓝激光前列腺汽化术的初步报道
- Author:
Tao LI
1
;
Lida CHEN
1
;
Zhongyi WANG
1
;
Yongfeng TIAN
1
;
Qirui CAO
1
;
Yangbo NIE
1
Author Information
1. Department of Urology, Chang’an District Hospital, Northwest University Chang’an Hospital, Xi’an 12th Hospital, Xi’an 710100, China
- Publication Type:Journal Article
- Keywords:
benign prostatic hyperplasia;
450 nm blue laser;
vaporization prostatectomy;
transurethral resection of the prostate
- From:
Journal of Modern Urology
2024;29(4):324-326
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 To investigate the application value of 450 nm blue laser vaporization in the treatment of benign prostatic hyperplasia (BPH) in district hospitals, so as to provide reference for the selection of BPH treatment methods in district-level hospitals. 【Methods】 The clinical data of 39 BPH patients who received surgical treatment in Chang’an Hospital during Jan.and Sep.2023 were retrospectively analyzed.The patients were divided into two groups, including 19 in blue laser group treated with 450 nm blue laser vaporization and 20 in the TURP group treated with transurethral resection of the prostate (TURP).The operation time, hemoglobin decline, postoperative bladder irrigation time, catheter indwelling time and adverse events were compared between the two groups. 【Results】 All operations were successfully completed.In the blue laser group, the operation time [(45.11±22.08) min vs.(81.25±29.37) min], postoperative bladder irrigation time [(34.05±9.41) h vs.(47.60±9.05) h] and the decrease of hemoglobin [(7.79± 5.86) g/L vs.(16.40±10.23) g/L] were significantly lower than those in the TURP group (P<0.05).There was 1 case of urinary retention in the blue laser group, and there was no significant difference in indwelling catheter time between the two groups (P>0.05). 【Conclusion】 The 450 nm blue laser vaporization of prostate has advantages of less blood loss, shorter operation time and shorter postoperative irrigation time.Therefore, it should be considered as a preferable option for BPH in primary hospitals.
