A comparative study of clinical effects of 120W greenlight photoselective vaporization of prostate vs transurethral resection of prostate for treatment of benign prostatic hyperplasia

【Objective】To evaluate the clinical effects of 120W greenlight photoselective vaporization of prostate (120W PVP) and transurethral resection of the prostate (TURP) for benign prostatic hyperplasia (BPH) by a prospective random control study. 【Methods】A total of 38 BPH patients were randomly divided into two groups treated with either 120 W PVP (n =18) or TURP (n =20). The perioperative markers and therapeutic results were recorded and analyzed.【Results】The IPSS, QOL, Qmax, PVR were greatly improved in both groups after operations (P0.01), and the differences between these two groups were not significant (P 0.05). The incidence of hemorrhage, the mean bladder irrigating time, catheterization time, hospital stay time were significant less or shorter in 120 W PVP group than in TURP group(P 0.05). But the operating time was longer in 120 W PVP group than in TURP group (P0.01). The incidences of complications such as uroclepsia, urethrostenosis, hematuria and impotence after operation in 120 W PVP group were lower than those in TURP group (P 0.05). 【Conclusions】The therapy of 120 W PVP is safe and efficacious for BPH patients, with advantages of little blood loss, good tolerance and a few complications.