经尿道接触式激光,电极汽化及电汽化切割治疗前列腺增生？…

目的 比较经尿道接触式激光前列腺术（ＴＵＬＰ）、经尿道电极汽化前列腺术（ＴＶＰ）和民汽化切割前列腺术（ＴＵＥＶＡＰ）对衣性前列腺增生症（ＢＰＨ）的治疗效果。方法 对７５８例ＢＨＰ患者采用３种术式，其中行ＴＵＬＰ者３８８例，行ＴＶＰ进２０３例，行ＴＵＥＶＡＰ者１６７例。结果 患者于术前后国际前列腺症状评分（ＩＰＳＳ）、生活质量评分（ＱＯＬ）、最大尿流率（ＭＦＲ）、剩余尿（ＰＶＲ）比较均得到显著改善（

An evaluation of transurethral contact laser prostatectomy and vaporization or electrovaporization ablation prostatectomy for the treatment of symptomatic BPH

Objective To evaluate transurethral contact laser prostatectomy and vaporization or electrovaporisation ablation prostatectomy for the treatment of symptomatic BPH. Methods Transurethral contact laser prostatectomy has been carried out for 388 cases of symptomatic BPH,transurethral vaporization prostatectomy for 203 and transurethral electrovaporization ablation prostatectomy for 167.The therapeutic results were evaluated and compared. Results IPSS score, QOL, Qmax and PVR were significantly improved after either of the procedures and the therapeutic results being comparable to TURP.No significant difference in the improvement of subjective symptoms and objective signs has been noted with the different procedures.The mean indwelling catheter time was longer in the transurethral contact laser prostatectomy group and the postoperative hematuria and irritative symptoms lasted longer and the occurrence of acute epididymitis more. Conclusions Transurethral electro vaporization ablation prostatectomy,transurethral vaporization prostatectomy and transurethral contact laser prostatectomy are as effective as TURP for the treatment of symptomatic BPH.As transurethral electrovaporization ablation prostatectomy yields the least adverse side effect it is therefore recommanded for the treatment of symptomatic BPH.