Treatment of Benign Prostatic Hyperplasia with Green Light Laser (PVP) vs. Transurethral Resection of the Prostate
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 2
Abstract
Introduction: Benign prostatic hyperplasia (BPH) is a highly prevalent disease afflicting mankind. BPH is the major etiology of lower urinary tract symptoms (LUTS) in men >50 years of age. Transurethral resection of the prostate (TURP) has been the gold standard to treat lower urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia (BPH). we described our institutional prospective study comparing the efficacy and outcomes of Green light laser photovaporisation of prostate (PVP) and transurethral resection of prostate (TURP) for the treatment of benign prostatic hyperplasia (BPH). Methods: Between June 2014 to March 2017, In this prospective, randomized comparative study total 150 patients with BPH were enrolled at our department of Urology. Two study groups were made. Group 1 – patients who underwent Green light PVP. Group 2 – patients who underwent TURP. All data were collected from medical records, which contained the clinical, laboratory tests, uroflometry and diagnostic imaging. Results: In present study we have taken total 150 patients, 75 Green light PVP, 38 monopolar TURP and 37 bipolar TURP. In study no significant difference in age distribution. Mean duration of catheterization post operatively was 21.88 hours, 27.97 hours and 28.24 hours, in PVP, monopolar and bipolar TURP respectively. Mean duration of hospital stay in PVP was 25.42 hours which is much shorter than in monopolar TURP (38.55 hours) and in bipolar TURP (38.37 hours). In PVP group no major intraoperative complications were recorded and none of the patients required blood transfusion. There was no significant difference between PVP, monopolar TURP & bipolar TURP in terms of change in IPSS at 12 months follow up. Conclusions: Green light PVP might be as safe and effective surgical procedure for the treatment of patients with BPH at high risk which gives it an edge over both monopolar and bipolar TURP. In terms of intra operative complications, TUR syndrome, blood transfusion, capsular perforations and clot retention are lower in PVP than TURP. Long-term functional results showed dramatic improvement in both groups with no significant difference between PVP and TURP groups.
Authors and Affiliations
Shailesh P. Bajaniya
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- EP ID EP540219
- DOI 10.21276/ijmrp.2018.4.2.074
- Views 130
- Downloads 0
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