Efficacy of 450 nm blue laser vaporization prostatectomy in the treatment of benign prostatic hyperplasia
10.3969/j.issn.1009-8291.2024.05.010
- VernacularTitle:450 nm半导体蓝激光前列腺汽化切除术治疗40例良性前列腺增生患者的疗效观察
- Author:
Yu WANG
1
;
Wei XU
;
Fayou ZHOU
;
Rui XU
;
Hui XIE
;
Qiang CUI
;
Songlin GUO
Author Information
1. 皖南医学院第二附属医院泌尿外科,安徽芜湖 241000
- Keywords:
450 nm blue laser;
vaporization prostatectomy;
benign prostatic hyperplasia
- From:
Journal of Modern Urology
2024;29(5):432-434,444
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the safety and efficacy of 450 nm blue laser vaporization prostatectomy in the treatment of benign prostatic hyperplasia(BPH).Methods A retrospective analysis was conducted on 40 BPH patients treated with 450 nm blue laser vaporization prostatectomy at our hospital during Mar.and Nov.2023.The preoperative and postoperative maximum urinary flow rate(Qmax),post-void residual volume(PVR),international prostate symptom score(IPSS),and quality of life(QoL)score were compared.The operation time,postoperative bladder irrigation time,and postoperative hemoglobin decrease were recorded.Results All operations were successful.One month after surgery,the Qmax[(7.9±2.1)mL/s vs.(16.8±2.5)mL/s]was significantly higher,while PVR[(110.0±42.1)mL vs.(14.6±11.4)mL],IPSS[(25.0±3.1)vs.(11.8±4.0)],and QoL[(5.1±0.9)vs.(2.5±0.6)]were significantly lower,with statistical significance(P＜0.05).The operation time was(52.5±15.5)min,the bladder irrigation time was(22.3±4.9)h,the postoperative hemoglobin drop was(6.5±3.8)g/L.Urinary retention occurred in 2 patients after removal of the catheter.Gross hematuria occurred in 1 patient after discharge.Conclusion Vaporization prostatectomy with 450 nm blue laser can significantly improve clinical symptoms and perioperative safety,with high vaporization efficiency and good hemostatic effects.It is worthy of clinical promotion and application.
