Effect of transurethral low power green laser vapor-resection-enucleation after transrectal prostate biopsy
10.3760/cma.j.cn121382-20220923-00612
- VernacularTitle:经直肠前列腺穿刺后行经尿道低功率绿激光前列腺剜除术的临床疗效
- Author:
Zeyu LI
1
;
Yan HE
;
Pei LIU
;
Weihang SONG
;
Quanfeng YU
;
Chunlei WU
Author Information
1. 新乡医学院第一附属医院泌尿外科二病区，新乡 453100
- Keywords:
Prostate puncture;
Low power green laser;
Prostate enucleation;
Benign prostatic hyperplasia
- From:
International Journal of Biomedical Engineering
2022;45(6):537-540
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effectiveness and safety of transurethral low power green laser enucleation of prostate (VREP) after transrectal prostate puncture.Methods:The clinical data of 96 patients with VERP in the First Affiliated Hospital of Xinxiang Medical College from October 2020 to October 2021 were retrospectively analyzed. They were randomly divided into the control group ( n=41) and the observation group ( n=55). The control group did not undergo prostate biopsy before operation, and the observation group underwent transrectal prostate biopsy within 1 week before operation. The general data, perioperative indexes, maximum urinary flow rate ( Qmax), international prostate symptom score (IPSS), quality of life score (QOL) and complications of the two groups were compared before and 3, 6 and 12 months after surgery. Results:Preoperatively, the PSA was higher in the observation group compared with the control group ( P<0.05), and the differences in other general information were not statistically significant (all P>0.05). Compared with the control group, the observation group had longer operation times and heavier resected specimens, and the differences were statistically significant (all P<0.05), but there were no statistically significant differences between the two groups in the comparison of enucleation efficiency, crushing efficiency, postoperative hemoglobin (HGB) decline value, postoperative hospitalization time, and postoperative ureter removal time (all P>0.05). At 3, 6 and 12 months postoperatively, Qmax, IPSS and QOL were significantly improved in the observation group compared with the control group (all P<0.05). However, there was no statistically significant difference between the two groups in the comparison of the above-mentioned indexes in the same period after surgery (all P>0.05). There was no statistically significant difference in the complication rate comparison between the two groups ( P>0.05). Conclusions:Transurethral low-power green laser prostate enucleation after transrectal prostate puncture is efficacious and has a certain degree of safety.
