Evaluate the effectiveness of the treatment of high risk benign prostatic hyperplasia with transrectal high-intensity focused ultrasound by urodynamic test
10.3760/cma.j.issn.1673-4904.2009.11.016
- VernacularTitle:经直肠高强度聚焦超声治疗高危良性前列腺增生的尿动力学评价
- Author:
Yuansong XIAO
;
Jun LV
;
Weilie HU
;
Wei WANG
;
Huaqiang YAO
;
Huai YANG
;
Lichao ZHANG
;
Yongbin ZHAO
- Publication Type:Journal Article
- Keywords:
Prostatic hyperplasia;
Urodynamics;
Ultrasound,high-intensity focused,transrectal
- From:
Chinese Journal of Postgraduates of Medicine
2009;32(11):38-40
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effectiveness of the treatment of high risk benign prostatic hyperplasia (BPH) with transrectal high-intensity focused ultrasound (TR-HIFU) by urodynamic test. Methods One hundred and thirty patients with BPH, most of who suffering with diabetes mellitus,cardio-cerebrovascular disease, respiratory disease. All patients were given the operation with Sonablate-500 high-intensity focused ultrasound (HIFU). International prostate symptom score (IPSS), quality of life (QOL), maximum urinary flow rate (Qmax), post void residual urine volume (PVR), pressure-flow tests (A-G) were employed for the evaluation of curatives effect on preoperation, 30th and 90th day after the treatment. Results The duration of the TR-HIFU prostate ablation treatment was 15-85 rain. One hundred and seven patients after treatment were followed up for 3 months. Compared the effect before treatment with that after treatment, IPSS improved from (27.0 ±11.5) scores to (8.5±1.4) scores, Qmax increased from (5.7±2.3) ml/s to (14.1±4.2) ml/s, PVR decreased from (118.5±78.0) ml to (30.0±15.0) mI,A-G parameters reduced from 62.4±19.3 to 25.6±13.0 and urine volume (VV) increased from (85.8 + 42.0) ml to (194.0±52.0) ml. The parameters all altered obviously (P < 0.05). Conclusions TR-HIFU appears highly attractive as a new optional, safe and efficacious and minimally invasive treatment for the high risk BPH. Main post-operative urodynamie parameters are more obviously improved than those of the preoperation.
