Efficacy of 450 nm blue laser vaporization resection of the prostate in the treatment of 132 patients with benign prostatic hyperplasia
10.3969/j.issn.1009-8291.2025.08.006
- VernacularTitle:保留性功能450 nm蓝激光前列腺汽化切除术治疗良性前列腺增生患者132例疗效观察
- Author:
Xiaolong XU
1
;
Chao MAN
;
Qin XU
;
Chuanchao YUE
;
Yongwei ZHAO
Author Information
1. 泰安市中心医院迎胜院区泌尿肾病激光治疗中心,山东泰安 271000
- Publication Type:Journal Article
- Keywords:
blue laser;
vaporization resection of the prostate;
sexual function;
benign prostatic hyperplasia
- From:
Journal of Modern Urology
2025;30(8):671-674,711
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical efficacy,safety and changes in sexual function of 450 nm blue laser vaporization resection of the prostate in the treatment of benign prostatic hyperplasia(BPH).Methods The clinical data of 132 BPH patients treated in Yingsheng Branch of Taian Central Hospital during Jan.and Oct.2023 were retrospectively analyzed.The perioperative related indicators,incidence of complications were recorded.The international prostate symptoms(IPSS)score,maximum urine flow rate(Qmax),post voiding residual(PVR),quality of life score(QoL),prostate-specific antigen(PSA)level,the Chinese index of premature ejaculation score(CIPE)and international erectile function index-5(IIEF-5)score before operation,and 1,3,6,and 12 months after operation were analyze.Results The operation time was(18.37±5.38)min,intraoperative blood loss(6.73±2.57)mL,postoperative hospital stay(4.31±1.54)d,catheter indwelling time(2.45±1.27)d,and bladder irrigation time(19.61±2.45)h.There were significant differences in Qmax,PVR,PSA level,QoL and IPSS before and after operation(P＜0.05).There was no statistically significant difference in IIEF-5 and CIPE before operation and 3,6 and 12 months after operation(P＞0.05).The retrograde ejaculation rate remained 6.25％3,6 and 12 months after operation.Conclusion The 450 nm blue laser vaporization resection of the prostate can relieve lower urinary tract symptoms,preserve the sexual function,and improve patients'quality of life.
