Six-o'clock tunnel holmium laser enucleation of the prostate: a modified procedure for benign prostate hyperplasia.
- Author:
Mieng GU
;
Zhi-kang CAI
;
Qi CHEN
;
Yan-bo CHEN
;
Zhong WANG
- Publication Type:Journal Article
- MeSH: Case-Control Studies; Hemorrhage; prevention & control; Holmium; Humans; Laser Therapy; methods; Lasers, Solid-State; therapeutic use; Male; Operative Time; Postoperative Period; Prostatic Hyperplasia; surgery; Therapeutic Irrigation; statistics & numerical data; Urinary Bladder; Urinary Incontinence; epidemiology; etiology; Urinary Incontinence, Stress; etiology
- From: National Journal of Andrology 2015;21(2):132-135
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo evaluate the safety and effectiveness of a modified method of holmium laser enucleation of the prostate (HoLEP)--6-o'clock tunnel HoLEP for the treatment of benign prostate hyperplasia (BPH).
METHODSWe included 112 cases of BPH in this study, 57 treated by 6-o'clock tunnel HoLEP (experimental group) and the other 55 by conventional HoLEP (control group). We compared the operation time, volume of the resected prostatic tissue, intraoperative blood transfusion, volume of bladder irrigation solution, postoperative hemoglobin change, and incidence of urinary incontinence between the two groups.
RESULTSStatistically significant differences were observed between the experimental and control groups in the operation time ([56.01 ± 8.62] min vs [68.65 ± 9.08] min), cases of intraoperative blood transfusion (0 vs 2), volume of bladder irrigation solution ([27.51 ± 3.67] L vs [36.89 ± 6.47] L), postoperative hemoglobin decrease ([10.70 ± 2.50] g/L vs [12.60 ± 3.30] g/L), and cases of postoperative stress-induced urinary incontinence (2 vs 7) (all P <0.05). One-month follow-up revealed smooth urination in both groups of patients but no true urinary incontinence or secondary bleeding in either.
CONCLUSIONModified 6-o'clock tunnel HoLEP can significantly reduce the operation time, bladder irrigation, and intraoperative bleeding, and therefore can be used as a safe and effective option for the treatment of BPH.