Comparison of clinical efficacy of transurethral blue laser vaporization of prostate and transurethral resection of prostate in the treatment of benign prostatic hyperplasia
10.3969/j.issn.1009-8291.2024.09.011
- VernacularTitle:经尿道前列腺蓝激光汽化切除术与经尿道前列腺电切术治疗良性前列腺增生的临床疗效比较
- Author:
Fanzhuo TU
1
;
Yan HU
1
;
Xianyan CHEN
1
;
Zunjie HU
1
;
Chao MAN
1
;
Yongwei ZHAO
1
Author Information
1. Urinary Nephropathy Laser Treatment Center, Yingsheng Branch of Taian Central Hospital, Taian 271000, China
- Publication Type:Journal Article
- Keywords:
transurethral blue laser vaporization of prostate;
transurethral resection of prostate;
benign prostatic hyperplasia;
sexual function;
retrograde ejaculation
- From:
Journal of Modern Urology
2024;29(9):803-808
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 To compare the clinical efficacy and safety of transurethral blue laser vaporization of prostate and transurethral resection of prostate (TURP) in the treatment of benign prostatic hyperplasia (BPH). 【Methods】 The clinical data of 142 BPH patients undergoing surgery in our hospital during Jan.and Aug.2023 were retrospectively analyzed.The patients were divided into blue laser group (n=72) and TURP group (n=70).The operation time, hemoglobin (Hb) decrease, bladder irrigation time, catheter indwelling time and postoperative hospital stay were compared between the two groups.The changes of international prostate symptom score (IPSS), quality of life score (QoL), maximum urinary flow rate (Qmax), postvoid residual volume (PVR), international index of erectile function-5 (IIEF-5) score and complications before and 6 months after operation were also compared. 【Results】 Six months after operation, the IPSS, QoL, Qmax and PVR were significantly improved in both groups (P<0.05), but there were no significant differences between the two groups (P>0.05). Compared with the TURP group, the blue laser group had shorter operation time \[(47.04±4.03) min vs.(25.46±5.84) min\], shorter postoperative bladder irrigation time \[ (54.17±4.99) h vs.(21.18±4.11) h\], shorter catheter indwelling time \[5(5, 6) d vs.2(2, 2) d\], shorter postoperative hospital stay \[7(7, 8) d vs. 4(3, 4) d\], less Hb decrease \[(9.61±2.16) g/L vs.(4.31±2.34) g/L\], and lower incidence of complications (51.4% vs.4.2%), with significant differences (P<0.05).Six months after surgery, the blue laser group had higher IIEF-5 score than that the TURP group \[(20.06±2.13) vs. (18.93±1.85)\], with significant difference (P<0.05). 【Conclusion】 Both transurethral blue laser vaporization of prostate and TURP can effectively treat BPH, but the former is more effective, for it has advantages of short recovery time, few complications and small impact on the sexual function of patients.
