Transurethral Vapor-resection of Prostate in High Risk Patients with Large Volume Benign Prostate Hyperplasia

Objective To evaluate the efficacy and safety of transurethral vapor-resection of the prostate(TUVP) in high risk patients with large volume benign prostate hyperplasia(BPH).Methods Between October 2000 and August 2005,there were 62 patients with BPH,average age(74.5),coexist urological and systemic disease 2 kinds,mean prostate weight 50g were treated with TUVP.Patients were followed up with IPSS,QOL,PVR and urodynamic exminations.Results TUVP procedures were successful in all cases after meticulous pro-opertive preparation.The IPSS were decreased from 26.8(24～35) preoperatively to 6.8(6～14) postoperatively,MFR increased from(6.1 ml/s)(5～10ml/s) preoperatively to 18.5ml/s(15～26ml/s) postoperatively,PVR decreased from 376ml to 8.8ml(8～22ml) after fallow-up 3~36month.Conclusion TUVP is a simple,effective and safe method to treat high risk patients with large volume BPH.