Efficacy of steam thermal ablation on the treatment of benign prostatic hyperplasia
10.13263/j.cnki.nja.2025.04.009
- VernacularTitle:经尿道前列腺热蒸汽消融术治疗良性前列腺增生患者疗效分析
- Author:
Ning SHAO
1
;
Qi-feng CAO
1
;
Jian-wei CAO
1
;
Jian KANG
1
;
Qiang BAI
1
;
Xin-gang CUI
1
Author Information
1. 上海交通大学医学院附属新华医院泌尿外科,上海 200092
- Publication Type:Journal Article
- Keywords:
benign prostatic hyperplasia;
hot steam;
ablation
- From:
National Journal of Andrology
2025;31(4):338-340
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical application of transurethral steam thermal ablation of the prostate as an ultra-minimally invasive treatment of benign prostatic hyperplasia(BPH).Methods:We treated 18 BPH patients by transurethral steam thermal ablation of the prostate in our hospital,and followed them up for 6-12 months after operation.We obtained the IPSS,maxi-mum urinary flow rate(Qmax),IIEF-5 scores,Male Sexual Health Questionnaire-Ejaculatory Dysfunction-Short Form(MSHQ-EjD-SF)scores and quality of life(QOL)scores from the patients and compared them before and after surgery.Results:Operations were successfully completed in all the cases,with no intraoperative complications,and all the patients were discharged on the second day after surgery.At the 6-month follow-up after surgery,the Qmax increased from(10.08±2.06)ml/s before surgery to(7.51±3.21)ml/s,the IPSS decreased from 23.72±1.87to8.06±1.39,and the QOL score decreased from 5.11±0.58 before sur-gery to 1.28±0.46.The differences in these indicators were statistically significant(P<0.05).And these is no significant differ-ence in the MSHQ-EjD-SF and IIEF-5 score(P>0.05).Conclusion:Transurethral steam thermal ablation of the prostate is a safe,effective and almost non-invasive surgical strategy for the treatment of BPH,with a good prospect of clinical application.