Efficacy of "ditching and ridge removal" with 450 nm semiconductor blue laser in the treatment of large volume benign prostatic hyperplasia
10.3969/j.issn.1009-8291.2024.05.011
- VernacularTitle:450 nm半导体蓝激光“打沟去垄法”治疗大体积良性前列腺增生的疗效观察
- Author:
Fanzhuo TU
1
;
Xianyan CHEN
1
;
Yaping QU
2
;
Song LI
3
;
Yan HU
1
;
Chao MAN
1
;
Changguan GE
4
;
Yongwei ZHAO
1
Author Information
1. Urinary Nephropathy Laser Treatment Center, Yingsheng Branch of Tai’an Central Hospital, Tai’an 271000
2. Functional Gastroenterology Disorders Department of Tai’an Central Hospital, Tai’an 271000
3. Department of Urology, Huaihe Hospital, Henan University, Kaifeng 475000
4. Department of Urology, The eighth People’s Hospital of Jinan, Jinan 271100, China
- Publication Type:Journal Article
- Keywords:
450 nm blue laser;
vaporization of prostate;
ditching and ridge removal;
large volume;
benign prostatic hyperplasia
- From:
Journal of Modern Urology
2024;29(5):435-439
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 To explore the efficacy and safety of "ditching and ridge removal" with 450 nm semiconductor blue laser in the treatment of large volume benign prostatic hyperplasia (BPH), in order to promote the clinical application of this method. 【Methods】 A retrospective study was conducted on 30 patients with large volume BPH treated with "ditching and ridge removal" with 450 nm semiconductor blue laser in Yingsheng Branch of Tai’an Central Hospital during Sep.and Dec.2023.The laser operation time, level of hemoglobin before and after operation, bladder irrigation time after operation, urinary catheter indwelling time, postoperative hospital stay, and intraoperative and postoperative complications were recorded.The changes of international prostate symptom score (IPSS), quality of life scale (QoL) score, maximum urinary flow rate (Qmax) and post-void residual volume (PVR) were compared before and 1 month after operation. 【Results】 The volume of prostate was (104.5±14.52) mL, the laser operation time was (20.13±2.98) min, and the bladder irrigation time was (20.27±2.56) h.The catheter was removed in all patients 2 days after operation, and all patients were discharged 3 days after operation.One month after operation, the IPSS, QoL, Qmax and PVR were significantly improved as compared with those before operation (P<0.05).No complications occurred during the follow-up. 【Conclusion】 "Ditching and ridge removal" with 450 nm semiconductor blue laser is a new, safe and effective method in the treatment of large volume BPH.
