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Open Access Research article

Experience of treating high risk prostate hyperplasia patients with a HPS120 laser

Li-Jun Chen1*, Hai-Xing Mai12, Li Zhao1, Nan Qu1, Ya-Lin Wang1, Chen Huang1, Xue-Chao Li1, Jin-Kai Dong1, Fei Tang1 and Biao Chen1

Author Affiliations

1 Deptment of Urology, 307 Hospital of PLA, Beijing 100071, China

2 Department of Urology, Chinese People’s Liberation Army General Hospital & Medical School of Chinese People’s Liberation Army, Beijing 100853, China

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BMC Urology 2013, 13:64  doi:10.1186/1471-2490-13-64

Published: 29 November 2013

Abstract

Background

The aim of this study was to investigate the effects and safety of 120 watt PVP surgery for the high risk prostate hyperplasia patients.

Methods

120 watt PVP surgery was performed on 120 cases of high risk prostate hyperplasia patients. The assessment included the operation time, energy consumed, hemoglobin changes, and serum salt concentration, whether to keep urinary catheter, hospitalization time, and complications after the operation. International Prostate Symptom Scoring (IPSS), the maximum urine flow rate (Qmax) and residual urine volume (RUV) were conducted preoperatively and postoperatively for the patients.

Results

There were 30% of patients taking oral anti-coagulant drug (n = 36), 88 cases with abnormal ECGs. All the patient’s internal diseases, include the cardiovascular disease (42/120), the hypertension (56/120), the respiratory system diseases (51/120), the cerebrovascular diseases (39/120), anemia (24/120), liver or kidney dysfunction (16/120), diabetes (18/120), hypoproteinemia (15/120) were under controlled. The average age, prostate volume and energy consumed was 82.8 ± 8.6 (70–96) years, 66.1 ± 25.3 (30–160) ml, and 224 ± 85 (31–596) kJ respectively. The average follow-up time was 20.8 ± 3.2 (18–24) months. The incidence of bladder neck contracture and urethral stricture were 1.7% and 0.8% respectively, no prostate cancer occurred during the subsequent follow-up period.

Conclusions

120 watt PVP surgery can safely and effectively alleviate the urination parameters of high risk prostate hyperplasia patients. The surgical process is safe and effective, and is not affected by the various internal diseases or the use of oral anti-coagulant drugs.

Keywords:
120 watt green laser; Benign prostatic hyperplasia; Elderly patients