Greenlight photoselective vaporization of prostate versus suprapubic transvesical prostatectomy for benign prostatic hyperplasia

Objective:Objective:To evaluate the clinical effect of different surgical methods of greenlight photoselective vaporization of prostate (PVP) and suprapubic transvesical prostatectomy for the treatment of benign prostatic hyperplasia (BPH).Methods:Sixty patients with BPH were randomized into two groups treated by either PVP or open prostatectomy. Various parameters such as operation time, blood loss and complications were recorded and analysied.Results:The IPSS, QOL, uroflowmery, postvoid residual urine volume (RUV) were significantly improved if compared with preoperative data (P 0.05). No significant difference in the improvement of subjective sympotoms and objective results has been noted with the different procedures(P 0.05). Average operation time( 48.6± 15.2 min), blood loss( 58.7± 12.4 ml), bladder irrigating time( 1.2± 0.8 d), indwelling catheterzation( 1.8± 0.5 d), postoperative hospital( 4.5± 1.2 d)and short-term complication rates in PVP were significant shorter than those in open prostatectomy(P 0.05).Conclusions:The PVP has similar therapeutic effect as open prostatectomy for the treatment of symptomatic BPH. PVP is regarded as shorter operative and recovering time, minimally invasive procedure, less blood loss and complication for the patients with BPH.