Safety and efficacy of prostatic thermocautery vaporization for the treatment of benign prostatic hyperplasia in elderly and high-risk patients
10.13263/j.cnki.nja.2025.11.006
- VernacularTitle:前列腺热蒸汽消融术治疗高龄高危良性前列腺增生患者的安全性及有效性分析
- Author:
Bo KONG
1
;
Hetong ZHOU
1
;
Changyuan ZHAO
1
;
Hongliang SUN
1
;
Jingping GE
1
Author Information
1. 泰康仙林鼓楼医院泌尿外科,南京 210046
- Publication Type:Journal Article
- Keywords:
benign prostatic hyperplasia;
elderly high-risk patients;
water vapour thermal
- From:
National Journal of Andrology
2025;31(11):999-1002
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effectiveness and safety of transurethral thermal steam ablation for the treatment of benign prostatic hyperplasia(BPH)patients with high-grade and high-risk.Methods Clinical data of elderly BPH pa-tients with high-risk treated with transurethral water vapour thermal from February 2022 to January 2025 were retrospectively ana-lyzed.The operation time,intraoperative bleeding,the number of injections during surgery,postoperative indwelling urinary catheter time,and surgical complications were recorded.And the differences in the International Prostate Symptom Score(IPSS),Quality of Life Score(QOL),Maximum Urinary Flow Rate(Qmax),and Residual Volume of Urine(PVR)before and after 3 and 6 months of the operation were recorded respectively.Results All 30 cases were successfully completed with an operation time of(10.167±2.984)min,intraoperative bleeding of(1.600±1.133)mL,the number of injections during surgery(6.600±1.793).No case of transfusion occurred.And the mean postoperative indwelling urinary catheter time was(8.467±3.246)d.After 3 and 6 months of postoperative follow-up,the Qmax increased from the preoperative(3.463±2.503)mL/s to(10.177±1.625)mL/s and(11.747±1.888)mL/s.PVR decreased from preoperative(209.623±191.960)mL to(40.433±23.713)mL and(30.300±20.223)mL.IPSS score decreased from preoperative(29.533±4.216)to(15.067±3.183)and(12.100±3.546).And QOL score decreased from preoperative(5.033±0.718)to(2.600±0.814)and(2.367±0.850).There were significant differences in observational indexes before and after the operation(P＜0.05).There was no case of postoperative urinary incontinence or secondary bleeding.Conclusion Transurethral water vapour thermal therapy is safe and effective for the treatment of elderly BPH patients with high-risk.
