Evaluation of green light PVP on treating high-risk old patients with benign prostatic hyperplasia

Objective To explore the efficacy and safety of green light photoselective vaporization of prostate(PVP) on high-risk older patients with benign prostatic hyperplasia(BPH).Methods Eighty-nine high-risk older patients with BPH were underwent PVP.The operative time,blood loss,indwelling catheterization and operative complications were observed.The variables such as international prostate symptom score(IPSS),quality of life(QOL),uroflowmetry,post-void residual urine volume(RUV) were recorded and calculated pre-and post-operatively.Results All the 89 patients safely got through perioperative period.The mean operation time was(44.8±35.0)min,intraoperative blood loss was(64.1±16.3)ml and postoperative indwelling catheterization was(3.6±2.7)d.IPSS and QOL scores decreased form(27.8±6.5) and(6.3±0.9) preoperatively to (7.14±2.6) and(1.4±0.8) postoperatively respectively.Max-uroflowmetry increased from(6.2±2.8)ml/s to(14.7±2.2)ml/s and RUV decreased from(186.0+25.2)ml to(26.6±5.1)ml.These parameters had significant differences before and after operation(P0.05).There were few complications and great satisfactions with the short-term post-operative results.Conclusion PVP is a safe,efficacious and minimally invasive procedure for older patients with high-risk BPH.