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Transurethral GreenLight Laser Photoselective Vapo-enucleation Of The Prostate Versus Transurethral Resection Of The Prostate For Benign Prostate Hyperplasia

Posted on:2021-01-28Degree:MasterType:Thesis
Country:ChinaCandidate:Z K QiuFull Text:PDF
GTID:2504306308980969Subject:Surgery
Abstract/Summary:PDF Full Text Request
ObjectiveThis study sought to compare the safety and effectiveness of high power front-firing GreenLight Laser photoselective vapo-enucleation of prostate(PVEP)and transurethral resection of the prostate(TURP)in the surgical treatment of benign prostatic hyperplasia.MethodThe clinical data from patients who underwent either GreenLight laser PVEP or transurethral resection of the prostate(TURP),which were performed by the same surgeon in our hospital,were retrospectively collected from January 2015 to December 2018.Perioperative data of both groups were collected,and the comparison of IPSS,QOL,PVR and Qmax from both groups was used to analyze the effectiveness of the two operations.The safety of the two operations was analyzed by collecting and comparing data of the incidence rates of perioperative short-term complications(such as TURS,capsule perforation,bleeding,urinary incontinence,urethral stricture,etc.),bladder irrigation time,catheterization time and hospital stays.Result.A total of 133 cases of BPH patients who underwent TURP or PVEP were collected,including 90 cases from TURP group and 43 cases from PVEP.No significant difference was observed in preoperative basic situation and LUTS between the two groups.All operations were successfully performed and no case was turned to open operation.The weight of specimen and resection rate(weight of specimen/preoperative prostate volume)in the PVEP group were higher than those in the TURP group(P<0.001).The PVEP group experienced a shorter duration of catheterization,postoperative hospital stay and irrigation time than the TURP group(P<0.001).There was no statistically significant difference between the two groups in terms of overall postoperative complications.The IPSS score,QOL score,PVR and Qmax of the two groups were significantly improved 3 months after surgery(P<0.001),without statistically significant difference.Conclusion.High power front-firing GreenLight laser PVEP has similar effectiveness and better safety in the treatment of BPH compared with TURP,which is worth of studying its clinical value further.
Keywords/Search Tags:Benign prostatic hyperplasia, GreenLight laser, vapoenucleation of prostate, transurethral resection of the prostate(TURP)
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