经尿道80W绿激光汽化术联合等离子电切治疗大体积前列腺增生症

目的 探讨经尿道80 W绿激光前列腺汽化术(PVP)联合等离子电切术(PKRP)治疗大体积(＞100毫升)的良性前列腺增生(BPH)的临床疗效及安全性.方法 2006年1月至2008年12月采用PVP联合PKRP治疗体积100毫升以上的前列腺增生症共计87例,方法为先行PKRP术,切除大部分增生的腺体,再以PVP对...

Photoselective Vaporization plus Bipolar Transurethral Resection for the Treatment of Large Prostate Adenoma

Objective To evaluate the safety and effectiveness of the combined 80 W photoselective vaporization of the prostate (PVP) and bipolar transurethral resection of the prostate (TURP) in symptomatic patients with large prostates. Methods Between January 2006 and December 2008, 87 patients underwent PVP plus bipolar TURP for severe lower urinary tract symptoms due to benign prostatic hyperplasia with prostatic volume greater than 100 ml. International Prostate Symptom Score and quality-of-life questionnaire (IPPS-QOL), maximum flow rates (Qmax), postvoid urine residues (PVR) and MRI prostatic volumes were recorded. Perioperative data, functional outcome and complications were evaluated. Patients were reassessed at 3, 6, 12 months. Results The mean operation time was 71.5±21.9 minutes. The mean pre-and postoperative prostate volume was 143.2±33.5 ml and 45.1±18.5 ml, respectively. No severe complications were observed. A significant difference in IPSS, Qmax and PVR values were recorded within the follow-up period. Conclusions The results of our study show that 80 W PVP plus bipolar TURP have excellent efficiency and low morbidity in patients with large prostates.