Comparative analysis of the safety and efficacy of 1470-nm diode laser enucleation of the prostate and plasmakinetic resection of prostate in the treatment of large volume benign prostatic hyperplasia (>80 ml).
Aging Male
; 27(1): 2257307, 2024 Dec.
Article
in En
| MEDLINE
| ID: mdl-38131620
ABSTRACT
OBJECTIVE:
To compare the efficacy and safety of 1470-nm diode laser enucleation of the prostate (DiLEP) with that of plasmakinetic resection of the prostate (PKRP) in treating patients with large benign prostatic hyperplasia (BPH > 80ml).METHODS:
The clinical data from 211 cases of BPH (>80 ml) were collected for analysis. The patients were divided into two groups the PKRP group (n = 118) and the DiLEP group (n = 93), based on the surgical method used.RESULT:
The DiLEP group demonstrated significantly lower surgical time (p < 0.001), intraoperative bleeding (p < 0.001), bladder flushing time (p = 0.003), indwelling catheter time (p < 0.005), and length of hospital stay (p = 0.018) compared to the PKRP group. However, the quality of the prostatectomy was significantly higher in the DiLEP group (p = 0.005). The Qmax for the DiLEP group was significantly higher than that of the PKRP group (p < 0.05). Compared to the PKRP group, the incidence of urinary incontinence in the DiLEP group increased significantly 4 weeks post-surgery (p = 0.026), although the need for blood transfusion during surgery was significantly reduced (p = 0.037).CONCLUSION:
Both DiLEP and PKRP are safe and effective methods for treating large-volume BPH. However, DiLEP offers advantages such as more thorough glandular resection, shorter surgical time, reduced bleeding, quicker recovery, and fewer complications.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Prostatic Hyperplasia
/
Transurethral Resection of Prostate
Limits:
Humans
/
Male
Language:
En
Journal:
Aging Male
Journal subject:
GERIATRIA
Year:
2024
Type:
Article
Affiliation country:
China