The comparion of the clinical efficacy between 1470 nm diode laser and transurethral resection of the prostate for treatment of benign prostatic hyperplasia

Abstract

Objective To investigate the clinical efficacy of 1470 nm diode laser and transurethral resection of the prostate(TURP) for treatment of benign prostatic hyperplasia. Methods A total of 50 patients with benign prostatic hyperplasia were randomly assigned to 1470 nm semiconductor laser vaporization group (n=25)and TURP group (n=25). The preoperative clinical parameters of two groups were not statistically significant. Then operation condition and follow-up were compared between two groups.The clinical effect of two groups was recorded and analyzed. Results The operation time, intraoperative blood loss, postoperative indwelling catheter time and postoperative hospital were statistically significant between two groups(P 0.05). Conclusions Both surgical approaches of 1470 nm diode laser and TURP have good effect for treating BPH, but the 1470 nm diode laser vaporization demonstrates better efficacy with less blood loss, shorter catheter indwelling time.Although the operation time is longer, 1470 nm diode laser vaporization is better and safer than TURP for patients with higher risk of bleeding. Key words: Prostatic Hyperplasia; Transurethral Resection of Prostate; Lasers; Electrosurgery