Photoselective vaporization treatment on benign prostatic hyperplasia in the elderly over 70 years old
- VernacularTitle:选择性绿激光汽化术治疗70岁以上老年人良性前列腺增生症临床分析
- Author:
Yu-Xi SHAN
;
Bo-Xin XUE
;
Yong CUI
;
Jie GAO
;
Dong-Rong YANG
;
Chuang-Yang SUN
;
Wen-Jong WANG
;
Wei TAO
- Publication Type:Journal Article
- Keywords:
Benign prostatic hyperplasia;
Prostatectomy;
Laser
- From:
Chinese Journal of Geriatrics
2003;0(11):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the efficacy and safety of photoselective vaporization treatment on benign prostatic hyperplasia(BPH)in the elderly over 70 years old.Methods From August 2004 to December 2005,a total of 126 patients with lower urinary tract symptoms secondary to BPH underwent photoselective vaporization of the prostate(PVP)with an 80 W quasicontinuous KTP laser.The patients aged between 70 and 96 years,(median 78.0),with 46 cases above 80 years. Prostatic volume was 24～86 ml,in an average of 47.0 ml,with 46 cases above 60 ml.Results The mean operative time was 46.8 min(range from 30 to 100 min).After operation,the catheter was pulled out in 69 cases within 24 hours and the patients generally urinated well.At three-months follow-up,the mean I-PSS decreased significantly from(25.0?3.7)to(16.3?2.0)(P＜0.01), while the Qmax increased from(5.8?2.7)ml/s to(16.3?4.8)ml/s(P＜0.01).Complications consisted of 4 cases of hematuria,6 urinary infection and 1 acute epididymitis.Conclusions The study indicates that PVP,a minimal invasive surgical procedure,is a safe and effective procedure for the treatment of BPH in the elderly.
