A comparative study and evaluations of open prostatectomy,transurethral electrovaporization-ablation prostatectomy and interstitial laser coagulation for the treatments of symptomatic BPH
- VernacularTitle:开放性手术、经尿道电汽化切割和组织间激光消融治疗良性前列腺增生的疗效评价
- Author:
Lin ZHONG
;
He WANG
;
Baoqi CHEN
- Publication Type:Journal Article
- Keywords:
Prostatic hyperplasia;
Surgical procedures,operative;
Lasers
- From:
Chinese Journal of Urology
2001;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate and compare the therapeutic effects of the open prostatectomy(OP)?transurethral electrovaporization ablation prostatectomy (TUEVAP) and interstitial laser coagulation(ILC) for the treatments of symptomatic BPH. Methods 282 symptomatic BPH patients randomly underwent OP (n=98)?TUEVAP(n=91) or ILC(n=93) respectively and the therapeutic effects were evaluated. Results There are significant improvements in symptoms and physical signs in each group after the procedure.The average catheterization time following OP?TUEVAP and ILC was 185 h?76 h and 362 h,the immediate morbidity rate being 28.9%?16.7%? 14.8 % and the retreatment rate 1.0%?6.6% and 16.1% respectively. OP group showed the longest average operative time and the most blood loss both of which were the least in ILC group. Conclusions OP is the most effective of the three procedures, but the trauma to the patient is the most.The therapeutic effect of TUEVAP is similar to OP's,with less injure.ILC is the easiest and safest procedure with the least side effects.
