Abstract：To compare the efficiency and safety of two procedures, transurethral 2 μm laser vaporesection and transurethral resection, for the treatment of bladder leukoplakia, and investigate the selection of medical management for bladder leukoplakia. Methods: We retrospectively reviewed the clinical data of 32 cases of bladder leukoplakia treated with transurethral 2 μm laser vaporesection (observation group) and 30 cases treated with transurethral resection (control group) from October 2011 to June 2014. Results: Two groups of patients were successfully operated. The operation time of two groups was not statistically significant. The length of hospital stay, indwelling catheter time and washing time in the observation group were significantly shorter s than the control group (P<0.05 for all). The efficiency in the observasion group was 87.5%, and that in the control group was 72.4%. The relapse rate and complications rate in the observasion group were significantly lower than in the control group (P<0.05). Conclusions: Transurethral 2 μm laser vaporesection for bladder leukoplakia is more effective intervention with higher curative rate and lower recurrence rate, complications rate than transurethral resection.
[1]Kasianandan A, Kannan K. Leukoplakia of the bladder: a case report and literature review. Int Urogynecol J, 2012,23(1):131-133. [2]那彦群,郭震华.实用泌尿外科学.北京:人民卫生出版社,2009:313-314. [3]李斌,唐秀英,王欢,等.经尿道气化电切术与电切术、电烙术治疗膀胱白斑的比较研究.临床泌尿外科杂志,2009,24(2):130-134. [4]韩刚,苑海波,陈宇东,等.经尿道RevoLix 2μm激光汽化切除术治疗膀胱黏膜白斑6例.山东医药,2013,53(28):93-94. [5]Bach T, Huck N, Wezel F, et al. 70 VS 120W thulium: yttrium-aluminium-garnet 2 micron continuous-wave laser for the treatment of benign prostatic hyperplasia: a systematic ex-vivo evaluation. BJU Int, 2010,106(3):368-372. [6] Doowy , Krajewski W, Dembowski J, et al. The role of lasers in modern urology. Cent European J Urol, 2015,68(2):175-182. [7]唐秀英,叶章群,官阳,等.膀胱白斑四型法病理分型及临床意义.中华泌尿外科杂志,2010,31(4):279-282.
