Impact Of Vascular Condition On The Photoselective Vaporization Of Prostate For The Treatment Of Benign Prostatic Hyperplasia

Objective To evaluate whether prior vascular condition had any effect on operative time, blood loss or outcome of greenlight photoselective vaporization of prostate (PVP)Methods From Aug 2008 to Sep 2009,60 patients with symptomatic benign prostatic hyperplasia who underwent 80W KTP laser vaporization of the prostate at our institution were retrospectively analyzed, including 30 patients priorly treated with finasteride and 30 patients with catheterization. Operative time, blood loss, Qmax and the incidence of complications after operation were evaluated.Results Mean operative time was (46±17.2) min, Our data showed that blood loss and operating time were unaffected by the change of vascular condition, which caused by prior 5ARI use or catheterization due to acute urinary retention. Mean Qmax increase and the incidence of complications were similar between two groups.Conclusions PVP with the 80W KTP green laser is an efficient way in terms of tissue removal in BPH. The change of vascular condition, which caused by catheterization due to acute urinary retention and previous treatment with finasteride do not seem to affect the efficiency of PVP.