中华医学杂志（英文版）Issue(19)：1610-1614,5.
Photoselective vaporization of the prostate in the treatment of benign prostatic hyperplasia
Photoselective vaporization of the prostate in the treatment of benign prostatic hyperplasia
FU Wei-jun 1HONG Bao-fa 1YANG Yong 1CAI Wei 1GAO Jiang-ping 1WANG Chun-yang 1WANG Xiao-xiong1
作者信息
- 1. Department of Urology, General Hospital of People's Liberation Army, Beijing 100853, China
- 折叠
摘要
Abstract
Background The treatment of symptomatic benign prostatic hyperplasia (BPH) remains a challenge for most urologic surgeons. We studied a cumulative cohort of patients with symptomatic benign prostatic hyperplasia (BPH) who underwent photoselective vaporization of the prostate (PVP) and evaluated the efficacy and safety of this procedure.Methods A total of 196 patients with lower urinary tract obstruction symptoms secondary to BPH were treated using laser vaporization of the prostate under sacral canal anesthesia at our institutions. The therapeutic results were assessed using following variables: the safety and efficacy of sacral anesthesia, blood loss, operative time, indwelling catheterization. Preoperative and perioperative parameters were evaluated in the international prostate symptom score (IPSS), quality of life score (QoL), maximal urinary flow rate (Qmax), post-void residual urine volume (PVR) and the change of sexual function. Patients were also assessed for 3-month follow up. Results PVP was performed successfully for all patients. There were 195 patients under sacral anesthesia and 1 patient under epidural anesthesia. Mean operative time was (45.2±18.5) minutes. The mean IPSS decreased from (26.6±3.2) to (5.6±1.4) and the QoL score decreased from (5.7±0.4) to (1.6±0.5), respectively (P<0.05), while mean Qmax increased from (6.7±2.5) ml/s preoperatively to (19.6±2.4) ml/s, PVR decreased from 158.4 to 25.8 ml, respectively (P<0.05). Average catheterization time was (1.8±0.9) days. There was no significant blood loss or fluid absorption during the period of PVP. Complications consisted of transient dysuria in 3 patients (1.5%), delayed gross hematuria in 5 patients (2.5%), respectively. Significant improvement in clinical outcomes were noted as early as 3 months after PVP treatment.Conclusions PVP is considered as a high satisfaction rate by patient and a minimal postoperative complication. Hence, PVP is a novel, safe, effective and minimal invasive treatment for patients with symptomatic BPH.关键词
benign prostatic hyperplasia/prostatectomy/laser surgeryKey words
benign prostatic hyperplasia/prostatectomy/laser surgery分类
医药卫生引用本文复制引用
FU Wei-jun,HONG Bao-fa,YANG Yong,CAI Wei,GAO Jiang-ping,WANG Chun-yang,WANG Xiao-xiong..Photoselective vaporization of the prostate in the treatment of benign prostatic hyperplasia[J].中华医学杂志（英文版）,2005,(19):1610-1614,5.
