Greenlight photoselective vaporization of prostate versus transurethral prostatectomy for benign prostatic hyperplasia

Objective To evaluate the clinical efficacy of greenlight photo-selective vaporization of prostate(PVP) and transurethral prostatectomy for the treatment of benign prostatic hyperplasia(BPH).Methods 178 patients with BPH were randomized into two groups treated either by PVP(95 cases) or by transurethral prostatectomy(83 cases).Various parameters such as operation time,blood loss and complications were recorded and analyzed.Results Average operation time of the PVP group was(47.4±5.1) min,which was less than that of the TURP group,(61.7±6.2) min.The blood loss,blood transfusion,bladder irrigating time,indwelling catheterization time,postoperative hospital day and short-term complication rate in the PVP group was significantly less or shorter than that in the TURP group.The IPSS,QOL,uroflowmery rate,postvoid residual urine volume(RUV) of both groups were significantly improved compared with preoperative data.Conclusions PVP is a safe,effective and minimally invasive procedure for the treatment of BPH,which has the advantages of shorter operation time,less blood loss,faster recovery and few complications.