Evaluation of transurethral resection, vaporization and contact laser prostatectomy for the treatment of BPH
2003
Purpose:To evaluate the effect of transurethral resection of prostate (TURP), transurethral vaporization of prostate (TUVP) and transurethral contact laser prostatectomy (TULP) for the treatment of symptomatic BPH.Methods:Sixty patients with symptomatic BPH were randomly put in the groups of TURP, TUVP or TULP.Results:Postoperatively, the IPSS, QOL, MFR and PVR of all the cases were significantly improved (P 0.01 ), and there was no significant difference among the three groups. The duration of the procedure in the TUVP and TURP groups was significantly shorter than that in the TULP group (P 0.01 ). The blood loss during the operation in the TUVP and TULP groups was significantly less than that in the TURP group (P 0.01 ). The indwelling catheter time in the TUVP and TULP groups was significantly shorter than that in the TURP group (P 0.01 ). The secondary bleeding and infection in the TURP group was less than that in the TUVP and TULP groups.Conclusions:TUVP and TULP are as effective as TURP for the treatment of symptomatic BPH. TUVP is easy to handle and safe for beginners. TURP is still a "golden standard " for the treatment of symptomatic BPH.
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