Comparative analysis of the safety and efficacy of 1470-nm diode laser enucleation of the prostate and plasmakinetic resection of prostate in the treatment of large volume benign prostatic hyperplasia (>80 ml).

IF 2.7 4区医学 Q3 ENDOCRINOLOGY & METABOLISM Aging Male Pub Date : 2024-12-01 Epub Date: 2023-12-22 DOI:10.1080/13685538.2023.2257307

Xiao Xiao, Xiao Maolin, Xiong Tao, Deng Xiaohong, Wang Jinzhong, Tong Wei, Chen Gaoliang, Tang Mengxi

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Abstract

Objective: To compare the efficacy and safety of 1470-nm diode laser enucleation of the prostate (DiLEP) with that of plasmakinetic resection of the prostate (PKRP) in treating patients with large benign prostatic hyperplasia (BPH > 80ml).

Methods: The clinical data from 211 cases of BPH (>80 ml) were collected for analysis. The patients were divided into two groups: the PKRP group (n = 118) and the DiLEP group (n = 93), based on the surgical method used.

Result: The DiLEP group demonstrated significantly lower surgical time (p < 0.001), intraoperative bleeding (p < 0.001), bladder flushing time (p = 0.003), indwelling catheter time (p < 0.005), and length of hospital stay (p = 0.018) compared to the PKRP group. However, the quality of the prostatectomy was significantly higher in the DiLEP group (p = 0.005). The Qmax for the DiLEP group was significantly higher than that of the PKRP group (p < 0.05). Compared to the PKRP group, the incidence of urinary incontinence in the DiLEP group increased significantly 4 weeks post-surgery (p = 0.026), although the need for blood transfusion during surgery was significantly reduced (p = 0.037).

Conclusion: Both DiLEP and PKRP are safe and effective methods for treating large-volume BPH. However, DiLEP offers advantages such as more thorough glandular resection, shorter surgical time, reduced bleeding, quicker recovery, and fewer complications.

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对比分析 1470 纳米二极管激光前列腺去核术和浆液性前列腺切除术治疗大体积良性前列腺增生症（>80 毫升）的安全性和有效性。

目的比较1470纳米二极管激光前列腺去核术（DiLEP）与浆液性前列腺切除术（PKRP）治疗大面积良性前列腺增生（BPH > 80ml）患者的疗效和安全性：方法：收集 211 例良性前列腺增生（>80 毫升）患者的临床资料进行分析。根据手术方法将患者分为两组：PKRP 组（118 人）和 DiLEP 组（93 人）：结果：与 PKRP 组相比，DiLEP 组的手术时间（p p = 0.003）和留置导尿管时间（p p = 0.018）明显更短。然而，DiLEP 组的前列腺切除术质量明显更高（P = 0.005）。DiLEP组的Qmax明显高于PKRP组（P = 0.026），但手术中的输血需求明显减少（P = 0.037）：结论：DiLEP 和 PKRP 都是治疗大容量良性前列腺增生症的安全有效的方法。结论：DiLEP 和 PKRP 都是治疗大体积良性前列腺增生症的安全有效方法，但 DiLEP 具有腺体切除更彻底、手术时间更短、出血更少、恢复更快、并发症更少等优势。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Aging Male 医学-泌尿学与肾脏学

CiteScore

6.40

自引率

3.80%

发文量

审稿时长

>12 weeks

期刊介绍： The Aging Male , the official journal of the International Society for the Study of the Aging Male, is a multidisciplinary publication covering all aspects of male health throughout the aging process. The Journal is a well-recognized and respected resource for anyone interested in keeping up to date with developments in this field. It is published quarterly in one volume per year. The Journal publishes original peer-reviewed research papers as well as review papers and other appropriate educational material that provide researchers with an integrated perspective on this new, emerging specialty. Areas of interest include, but are not limited to: Diagnosis and treatment of late-onset hypogonadism Metabolic syndrome and related conditions Treatment of erectile dysfunction and related disorders Prostate cancer and benign prostate hyperplasia.