Curative effectiveness of transurethral resection of prostate vs. 160 W green-light high performance system laser for photo-selective vaporization of prostate in treating benign prostatic hyperplasia
Hu Xiaotian1, Li Shichao2 , Ai Xing2, Teng Jingfei2, Guan Yawei2
1.Third Department of Surgery, Yingshan County People's Hospital, Yingshan 438700, China; 2.Department of Urology, PLA Army General Hospital
Abstract：Objective: To investigate the clinical effect and safety of transurethral resection of prostate (TURP) vs. 160 W green-light high performance system (HPS) laser for photo-selective vaporization of prostate (PVP) in treating benign prostatic hyperplasia (BPH). Methods: 100 patients with BPH were chosen, and divided into the observation group (PVP, n=41) and control group (TURP, n=59) according to the operative approaches, then the operation situation and clinical curative effect of the two groups were compared. Results: There was no significant difference in the operation time between two groups (P＞0.05). The intra-operative blood loss, bladder catheterization duration, bladder irrigation time and the average hospitalization time were decreased significantly (P＜0.05) in the observation group as compared with the control group. The I-PSS, QOL and Qmax of the two groups after operation were significantly improved as compared with those before operation (P＜0.05), but there was no significant difference between two groups (P＞0.05). Conclusions: The 160 W green-light HPS laser for PVP in the treatment of BPH was equally effective to and safer than TURP.
胡啸天，李世超，艾星，腾竞飞，关亚伟. 经尿道160 W绿激光气化术与电切术治疗前列腺增生的疗效比较[J]. 微创泌尿外科杂志, 2016, 5(4): 233-235.
Hu Xiaotian, Li Shichao , Ai Xing, Teng Jingfei, Guan Yawei. Curative effectiveness of transurethral resection of prostate vs. 160 W green-light high performance system laser for photo-selective vaporization of prostate in treating benign prostatic hyperplasia. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2016, 5(4): 233-235.
[1]许明伟,张杰,王伟,等.经尿道选择性绿激光汽化术与经尿道前列腺电切术治疗良性前列腺增生的Meta分析.腹腔镜外科杂志,2012,17(4):262-267. [2]黄世昌.电切术治疗高龄前列腺增生的效果观察.当代医学,2014,20(12):79-80. [3]Pawan V, Anup K, Niraj K, et al. Safety and efficacy of photo-selective vaporization of prostate in patients receiving anticoagulants. Minerva Urol Nefrol, 2013,65(3):189-195. [4]王健,贾卓敏,艾星,等.160W绿激光治疗大体积前列腺增生的疗效分析.微创泌尿外科杂志,2015,4(5):298-301. [5]Eken A, Soyupak B, Acil M, et al. Safety, efficacy and outcomes of the new GreenLight XPS 180W laser system compared to the GreenLight HPS 120W system for the treatment of benign prostatic hyperplasia in a prospective nonrandomized single-centre study. Can Urol Assoc J, 2015,9 (1-2): e56-60. [6]杨国胜,刘刚.绿激光治疗前列腺增生的优势及进展.中华腔镜泌尿外科杂志(电子版),2016,10(1):1-4. [7]关维民,赵豫波,刘萃龙,等.经尿道选择性绿激光汽化术与电切术治疗前列腺增生的价值比较.临床军医杂志,2012,40(1):64-66. [8]Ruszat R, Wyler SF, Seitz M, et al. Comparison of potassium-titanyl-phosphate laser vaporization of the prostate and transurethral resection of the prostate: update of a prospective non-randomized two-centre study. BJU Int, 2008, 102 (10):1432-1438.
