Effects of blue laser vaporization of prostate on sexual function and lower urinary tract symptoms in patients with benign prostatic hyperplasia
10.3969/j.issn.1009-8291.2024.06.006
- VernacularTitle:蓝激光前列腺汽化切除术对良性前列腺增生患者术后性功能及下尿路症状的影响
- Author:
Xiaolong XU
1
;
Chao MAN
;
Chuanchao YUE
;
Yongwei ZHAO
;
Xiaohang HAO
Author Information
1. 泰安市中心医院迎胜院区泌尿肾病激光治疗中心,山东泰安 271000
- Keywords:
blue laser vaporization prostatectomy;
sexual function;
retrograde ejaculation;
transurethral plasmakinetic resection of the prostate;
benign prostatic hyperplasia;
lower urinary tract symptoms
- From:
Journal of Modern Urology
2024;29(6):501-504,509
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effects of transurethral blue laser vaporization of prostate for benign prostatic hyperplasia(BPH)on the sexual function and lower urinary tract symptoms.Methods A retrospective analysis was conducted on 91 BPH patients admitted to our department during Mar.and Aug.2023.The patients were divided into two groups,46 in the blue laser group,and 45 in the transurethral plasmakinetic resection of prostate(PKRP)group.The operation time,bladder irrigation time,catheter indwelling time and postoperative hospitalization time of the two groups were compared.Postvoid residual(PVR),maximum urinary flow rate(Qmax),international prostatic symptoms score(I PSS),quality of life score(QoL),international index of erectile function-5(IIEF-5)score,the Chinese index of premature ejaculation(CIPE)score and incidence of retrograde ejaculation were compared before and 6 months after operation.Results The operation time[(24.66±5.38)min vs.(62.50±3.85)min],bladder irrigation time[(20.40±2.78)h vs.(51.93±5.02)h],catheter indwelling time(1.65±0.89)d vs.(6.73±2.98)d]and postoperative hospitalization time[(4.26±1.57)d vs.(8.45±2.28)d]were significantly shorter in the blue laser group than in the PKRP group(P＜0.05).There were no significant differences in Qmax,PVR,QoL and IPSS between the two groups before and 6 months after operation(P＞0.05).Six months after surgery,the IIEF-5 score and CIPE score of the blue laser group were higher than those of the PKRP group[(20.02±2.63)vs.(17.64±1.75);(30.88±3.45)vs.(26.25±3.51)],but the incidence of retrograde ejaculation was lower(4.35％vs.35.60％),with statistical significance(P＜0.05).Conclusion Blue laser vaporization of the prostate can improve lower urinary tract symptoms and protect sexual function.
