Curative effect of green light photoselective vaporization for the treatment of high-risk elder patients with benign prostatic hyperplasia
10.3760/cma.j.issn.1008-6315.2011.08.031
- VernacularTitle:绿激光前列腺汽化术治疗高龄高危良性前列腺增生症的疗效观察
- Author:
Yansheng ZHANG
;
Jianjun GUO
;
Liquan XU
;
Zhanqiang WANG
;
Jun PEI
;
Bin XIA
;
Wenming JIA
- Publication Type:Journal Article
- Keywords:
Benign prostatic hyperplasia;
Greenlight photoselective vaporization of prostate;
Elderly;
International prostate symptom score
- From:
Clinical Medicine of China
2011;27(8):862-864
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the efficacy and safety of greenlight photoselective vaporization of prostate (PVP) in high-risk elder patients with benign prostatic hyperplasia (BPH). Methods A total of 120 high-risk elder patients with BPH underwent PVP procedure. The operating time, blood 1oss, indwelling catheterization and operation-related complications were monitored. The variables such as international prostate symptom score (IPSS), Quality of life (QOL) score, maximum urinary flow rate (Qmax) and residual urine volume (RUV) were recorded and compared pre- and post-operatively. Results All the 120 patients had a good peri-operative condition. The mean operating time was (52. 6 ± 5.8 )min, intraoperative blood loss was (20.4 ±9.5) ml. Among the 120 cases,26 did not received postoperative catheterization. In the other 94 cases received postoperative catheterization, the mean catheterization time was (24. 5 ± 15.9) hour. IPSS and QOL scores decreased from (28.5 ± 3.8) and (5.0 ± 0.8) preoperatively to (7.2 ± 1.8) and (1.5 ± 0.6)postoperatively. Qmax increased from ( 5.2 ± 3.1 ) ml/s to ( 15.2 ± 4.3 ) ml/s, and RUV decreased from ( 118.6 ± 15.2) ml to ( 16. 5 ± 4. 6) ml. There was significant difference for these parameters before and after the operation (Ps ＜ 0. 05 ). Conclusion The PVP is considered to be a safe, effective and minimally invasive procedure to treat BPHin high-risk elder patients. It is easy to manipulate, with advantages of shorter operating time,less blood loss, better tolerance and rapid recovery, especially for high-risk elder patients with BPH.
