The application of holmium laser transurethral enucleation of the large volume prostate with navigation of ultrasonic anatomical landmarks
10.3760/cma.j.issn.1000-6702.2019.03.009
- VernacularTitle:解剖标志导航钬激光剜除术治疗大体积前列腺增生的疗效分析
- Author:
Meng GU
1
;
Chong LIU
;
Yanbo CHEN
;
Qi CHEN
;
Qiling SHI
;
Xiang WAN
;
Zhikang CAI
;
Zhong WANG
Author Information
1. 上海交通大学医学院附属第九人民医院泌尿外科
- Keywords:
Benign prostatic hyperplasia;
Holmium laser;
Enucleation
- From:
Chinese Journal of Urology
2019;40(3):206-209
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the safety and efficacy of holmium laser transurethral enucleation of the prostate (HoLEP) for large volume of prostatic hyperplasia (BPH) with navigation of ultrasonic anatomical landmarks.Methods Data of 242 patients with BPH (≥ 80 cm3) underwent domestic HoLEP from Jan.2016 to Jan.2018 were retrospectively analyzed.General data,IPSS,QOL,prostate volume,PSA were assessed.Their average volume of prostate was (103.2 ± 21.4) cm3,the average PSA was (2.6 ± 1.4) ng/ml,the residual urine volume was (105 ± 75) ml,Qmax was (6.4 ± 5.2) nd/s,IPSS score was 22.5 ± 5.3 and QOL score was 4.8 ± 1.2.Result All patients were completed the operation successfully and their LUTS indicators were greatly improved.The enucleation time was between 25 and 80 min,average (49.0 ± 12.2) min;the mass of wet weight of gland was (70.5 ± 15.3) g;the removal efficiency was (1.6 ±0.3) g/min.The IPSS score dropped to 14.8 ± 6.5,P ＜ 0.01;QOL score dropped to 2.6 ± 1.5,P ＜ 0.01;PSA dropped to (1.1 ± 1.2) ng/ml,P ＜ 0.01;the maximum urinary flow rate growth to (16.5 ±7.1) ml/s,P ＜0.01.Conclusion For large volume of prostatic hyperplasia,holmium laser transurethral enucleation with ultrasonic navigation surgery is safe and efficient.
