Clinical efficacy of photoselective vaporization of the prostate and transurethral resection of prostate on the treatment of high-risk benign prostatic hyperplasia

Objectives: To compare the clinical efficacy between photoselective vaporization of the prostate( PVP) and transurethral resection of prostate( TURP) in the treatment of highrisk benign prostatic hyperplasia. Method: 90 patients with operation indications of benign prostatic hyperplasia were randomly divided into PVP Group( observation group) and TURP Group( control group),with 45 cases in each group,respectively They were treated with PVP operation and TURP operation. Difference indexes of the two groups were compared including the average operation time,average postoperative bladder irrigation time,postoperative indwelling catheter time,bleeding volume during operation,hospitalization time,residual urine volume,maximum diuresis rate,complications before and after operation,International Prostate Symptom Score( IPSS) and Postoperative Quality of Life Score( QOL). Results: 1. The mean bladder irrigating time,postoperative indwelling catheter time,amount of bleeding, operation and hospitalization time in the observation group was significantly lower than that in the control group( P 0. 01); 2. The indexes of the preoperative maximal urinary flow rate,IPSS,QOL scores did not differ significantly in the two groups( P 0.05); 3. The transurethral resection syndrome incidence rate in the two groups showed no significant difference( P 0.05); The postoperative urinary incontinence,hematuria,sexual dysfunction of patients in the observation group was significantly lower than that of patients in the control group( P 0. 05) while the incidence of urinary retention of the patients in the observation group was higher than that in the control group( P 0. 05). Conclusion: PVP is effective in the treatment of highrisk benign prostatic hyperplasia with less bleeding volume,less complications,more operation safety and better postoperative recovery.