Short-term clinical evaluation of photoselective vaporization of the prostate for the patients with benign hyperplasia of prostate in anti-coagulanting status
10.3760/cma.j.issn.1000-6702.2013.05.012
- VernacularTitle:光选择性前列腺汽化术治疗抗凝状态下良性前列腺增生的短期疗效评价
- Author:
Jie SUN
;
Dong LI
;
Yiran HUANG
- Publication Type:Journal Article
- Keywords:
Prostatic hyperplasia;
Photoselective vaporization of prostate;
Green laser;
Anticoagulants
- From:
Chinese Journal of Urology
2013;(5):366-368
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the safety and efficacy of the photoselective prostate vaporization (PVP) for the patients of benign hyperplasia of prostate (BPH) with oral anti-coagulant.Methods From September 2008 to May 2010,7 cases of BPH with oral anti-coagulant were treated by PVP,with an average age of 74 years.The prothrombin time before the surgery was (13.14 ± 0.15) s.An 100 W Green-light laser source was applied in this study.The prostate volume,operating time,blood loss,catheter indwelling time after the surgery,hospital stay,PVR,Q IPSS score were recorded.Results The mean operating time was (65 ± 22) min without active bleeding or transfusion in this cohort.The haemoglobulin concentration was intact and catheter indwelling time was (22 ± 8) h,while the hospital stay was (2.7 ± 1.2) d.The PVR,Q IPSS score were significantly improved after follow-up of 1 month (P ＜0.01).One case complicated acute urinary retention after operation in this cohort,and the catheter was removed 4 weeks after α-blocker administration.Conclusions PVP is a safe and effective surgical strategy for BPH patients with oral anti-coagulant.However,since there were relatively limited cases enrolled in this study,more randomized controlled clinical trials are needed in the near future.
