THE SHORT-TERM EFFICACY AND SAFETY OF TRANSURETHRAL THULIUM LASER PROSTATECTOMY IN THE TREATMENT OF BENIGN PROSTATIC HYPERPLASIA

Xinkai Huang^#, Haibiao Lai^#, Liang Zhong^*, Zhifeng Huang, Ye Zeng

Department of urology, Zhongshan Hospital of Traditional Chinese Medicine, Zhongshan, PR China

Objective: To analyse the short-term efficacy and safety of transurethral thulium laser prostatectomy (TmLRP) in the treatment of benign prostatic hyperplasia (BPH). 

Methods: A total of 125 patients with BPH were selected from January 5, 2015 to January 5, 2016. Then, 120 patients were randomly divided into two groups: 65 patients underwent TmLRP and 55 patients underwent transurethral resection of the prostate (TURP). The time of operation, the change of electrolytes, bladder washing duration, indwelling catheter duration, the days of hospitalisation and complications were measured and recorded. The changes of IPSS, Qmax and PVR were followed up for 1 month. 

Results: There were no significant differences in IPSS, QOL and Qmax between the two groups before operation (P>0.05). One month after the operations, the IPSS, QOL and Qmax of the two groups were significantly lower than the values before operation (P<0.05). The bladder flushing, catheterisation and hospitalisation duration of the TURP group were significantly higher than those of the TmLRP group (P<0.05). There were no significant differences in Na⁺, K⁺, Cl^- and haemoglobin change between the two groups before operation (P>0.05). Changes in Na⁺, K⁺, Cl^- and haemoglobin in the two groups after operation were significantly lower than those before operation (P<0.05). The number of complications after the operations in the TmLRP group was significantly higher than in the TURP group (P<0.05). 

Conclusion: TmLRP is a simple, effective, minimally invasive, highly safe, and ideal surgical method with good clinical application prospects and fewer complications.