Evaluation of greenlight photoselective vaporization of prostate for the treatment of high-risk older patients with benign prostatic hyperplasia

Objective To explore the efficacy and safety of greenlight photoselective vaporization of prostate(PVP) in high-risk older patients with benign prostatic hyperplasia(BPH).Methods A total of 96 high-risk older patients with BPH underwent PVP.The operative time,blood loss,indwelling catheterization and operative complications were observed.The variables such as IPSS,QOL,uroflowmetry,post-void residual urine volume(RUV) were recorded and calculated pre-and post-operatively.Results All the 96 patients safely got through perioperative period.The mean operative time was(24.8±6.5)min,intraoperative blood loss was(55.4±16.8)ml and postoperative indwelling catheterization was(1.6±0.7)d.IPSS and QOL scores decreased form preoperative 29.8±5.2 and 5.2±0.8 to postoperative 8.4±2.3 and(1.4±)0.5,respectively.Qmax increased from(5.6±2.8)ml/s to(16.7±3.2)ml/s,and RUV decreased from(168.0±22.5)ml to(24.6±5.81)ml.There were significant differences of these parameters between pre-and post-operation(P0.05).There were few complications and great patient's satisfaction with the short-term post-operative results.Conclusions The PVP is believed to be a safe,efficacious and minimally invasive procedure for older patients with high-risk BPH.It is easier to manipulate with advantages of shorter operative time,less blood loss,better tolerance and rapid recovery.