Clinical Analysis Of The Treatment Of Benign Prostatic Hyperplasia:2 Micron Laser Combined With Transurethral Resection Of Prostate

Objective: To summarize the patients between June 2014 and December 2015 admitted in our department d uo to the symptoms of dysuria and/or complications owing to BPH,and were comfirmed the dignosis of BPH,and agreed to accept the operation: transurethral 2 micron laser prostatic resection combined with transurethral resection of the prostate or transurethral 2 micron laser resection of the prostate.The number of the patients is 93 and 66.The preoperative,intraoperative and postoperative related parameters were analysised to evaluate the effective and safety of transurethral 2 micron laser prostatic resection combined with transurethral resection of the prostate in the treatment of benign prostatic hyperplasia.Method: Collected the patient’s clinical date who treated in our hospital between November 2014 and December 2015.The patient’s age,history of present illness,past medical history.Complete the blood routine test,urine routine test,blood coagulation function test,liver and kidney function test,PSA levels were examined.Urinary system sonography was performed in all the patients and MRI scan of prostate was performed in selected patients.The parameters of cystostomy,operation time,postoperative hem oglobin level,kidney function,postoperative complications and IPSS were recorded,the parameters were analysed according to the volume of the prostate,and followed-up three months.RESULTS: The transurethral 2 micron laser prostatic resection combined with transurethral resection of the prostate ’s number is 93,and the transurethral 2 micron laser resection of the prostate’s number is 66.The average age was 70.37±7.94 years,the average duration of the disease was 5.98±4.66 years and 5.35±4.02 years,the average PSA level was 6.58±11.49 ng/ml and 5.62±5.97 ng/ml,the average prostate volume was 67.42±42.26 ml and 63.39±33.01 ml,the average preoperative hemoglobin level was 135.13±12.76 g/L and 138.19±11.30 g/L,the average preoperative serum sodium level was 142.02±5.44 mmol/L and 141.78±3.29 mmol/L,the average preoperative serum potassium level was 4.17±0.42 mmol/L and 4.11±0.41 mmol/L,the average preoperative IPSS was 26.23±6.83 and 26.05±6.99,the average preoperative QOL was 5.12±0.85 and 5.14±0.86,the average preoperative residual volume was 77.44±69.39 ml and 80.27±57.92 ml,the average preoperative Qmax was 5.34±2.39 ml/s and 4.04±2.95 ml/s.There is na statistical difference in age,duration of the disease,PSA level,prostate volume,preoperative hemoglobin level,preoperative serum sodium level,preoperative serum potassium level,IPSS,QOL and residual volume(P> 0.05).The average operation time was 93.95±32.78 min and 101.27±35.02 min,the average postoperative bladder flushing time was 1.74±1.15 d and 1.57±0.97 d,the average catheter time was 6.56±1.20 d and 6.48±1.13 d,the average hospitalization time was 7.35±1.70 d and 7.30±1.72 d.There is no statistical difference in operation time,bladder flushing time,catheter time,hospitalization time,postoperative hemoglobin level,postoperative serum sodium level,postoperative serum potassium level(P> 0.05).when the volume was ≥ 60 ml,it have statistical difference in operation time between the two operation(P<0.05.There is statistical difference in hemoglobin level before and after the operation(P<0.05).After 1 month of the IPSS,QOL and Qmax was be tter than the operation before.There was no bladder or urethral complication.In the transurethral 2 micron laser prostatic resection combined with transurethral resection of the prostate operation,36 patients have obturator Nerve Reflect,3 patients received blood transfusion intraoperative,4 patients received blood transfusion postoperative,5 patients have gross hematuria,19 patients experience bladder irritation symptoms,5 patients have fever,1 patients have AUR,1 patient have bladder neck contracture.In the 2 micron laser resection of the prostate operation,6 patients received blood transfusion postoperative,9 patients have gross hematuria,16 patients experience bladder irritation symptoms,and 3 patients have fever.Conclusion: 1.Transurethral 2 micron laser prostatic resection combined with transurethral resection of the prostate and transurethral 2 micron laser resection of the prostate is an effective method for the treatment of BPH;2.Compared transurethral 2 micron laser prostatic resection combined with transurethral resection of the prostate to transurethral 2 micron laser resection of the prostate,the treatment of large volume prostate is more advantages;3.The study just a single medical center study,short follow-up time and the sample size was small and need to further study to confirm.