Evaluation of transurethral resection, vaporization and contact laser prostatectomy for the treatment of BPH

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.