Short-term Efficacy Comparison Between Greenlight Photoselective Vaporization Of The Prostate And Transurethral Resection Of The Prostate For Treatment Of Patients With Benign Prostatic Hyperplasia

ObjectiveThis study sought to evaluate the short-term efficacy of Greenlight photoselective vaporisation (PVP) vs. transurethral resection of the prostate (TURP) for patients with benign prostatic hyperplasia (BPH).MethodsA series of 58 vs 63 patients who underwent PVP vs TURP respectively, at first affiliated hospital of xinxiang medical college from January 2013 to June 2014 was studied retrospectively. In order to minimize the differences caused by the surgeon, the two groups of patients with surgery were done by the same physician. All patients underwent surgery for a period of six month follow-up, and the outcome measures included the patients with preoperative, intraoperative and postoperative data and related indicators such as international prostatic syndrome score(IPSS), quality of life(QOL), residual urine volume(RUV), maxmium flow rates(Qmax), operation time, intraoperative blood loss, bladder douche time, time placing a urinary catheter, length of hospital stay and postoperative complications recently. Statistical analyses were performed using the paired or unpaired t tests and Chi-square test.Results1. Baseline parameters were similar between groups, there was no significant difference (P> 0.05).2、Surgery in both groups was successfully completed, PVP operative time was (54.1 ±7.2) min, TURP group (54.6±12.9) min, no significant difference between the two groups in operative time (P>0.05). PVP group blood loss was (30.0±8.0) ml, bladder irrigation time was (24.4±3.3) h, indwelling catheter time was (2.1±1.1) d, length of hospital stay was (4.6±1.1) J; TURP surgery group the amount of bleeding (83.4±13.5) ml, bladder irrigation time was (41.1±5.7) h, indwelling catheter time was (4.4±1.1) d, length of hospital stay was (8.3±2.4) d. Comparison of surgery-related indicators of the two groups of patients were significantly difference s(P<0.05).3、Patients were followed up of 6-month after surgery, the patient’s IPSS、QOL、 Qmax、RUV improved significantly compared with the preoperative (P<0.05), but data between the two groups of patients was no significantly differences (P>0.05).4、Two groups of patients had no deaths, blood transfusions, transurethral resection syndrome (TURS), capsular perforation, bladder injury, rectum and bladder injury, neck contracture, and urethral stricture. Patients were followed up of 6-month after surgery, PVP group:Dysuria (7/12.1%), Temporary incontinence (9/15.5%), Retrograde ejaculation (3/5.1%), TURP group:Secondary hemorrhage (2/3.2%), Dysuria (2/3.2%), Temporary incontinence (15/23.8%), Retrograde ejaculation (3/5.1%), Comparison of surgery-related complications of the two groups of patients were significantly differences (P>0.05). Overall complication rate between the two groups of patients was significantly differences (P<0.05).ConclusionsIn our series, both PVP and TURP techniques were safe and effective, could significantly improve urinary symptoms. The PVP are superior to TURP in high-risk patients because has less blood loss, fewer complications, faster recovery and other advantages. The PVP technique was a more efficient method for laser prostatectomy. Further follow-up is needed to draw final conclusions about the long-term efficacy of PVP.