PMID- 21837954 OWN - NLM STAT- MEDLINE DCOM- 20111128 LR - 20131121 IS - 1009-3591 (Print) IS - 1009-3591 (Linking) VI - 17 IP - 5 DP - 2011 May TI - [Greenlight photoselective vaporization prostatectomy versus thulium laser vaporesection of the prostate for aged high-risk BPH patients with the prostate heavier than 80 g]. PG - 431-4 AB - OBJECTIVE: To compare the effects of greenlight photoselective vaporization prostatectomy (PVP) and thulium laser vaporesection of the prostate (TmLRP) in the treatment of aged high-risk BPH patients with the prostate weighing > 80 g. METHODS: We included in this study 118 high-risk BPH patients aged 62-96 (mean 76) years with the prostate heavier than 80 g, 82 treated by PVP and the other 36 by TmLRP. Then we compared the operation time, intraoperative bleeding, complications, short-term effectiveness, and surgical cost between the two groups. RESULTS: All the patients tided over the perioperative period without blood transfusion and serious complications. The mean operation time, postoperative bladder irrigation time and surgical cost were significantly less in the TmLRP than in the PVP group (P < 0.05). Both the procedures remarkably improved the international prostatic symptom score (IPSS), quality of life (QOL), post void residual urine (PVR) and Qmax of the patients (P < 0.05), but with no significant differences between the two groups (P > 0.05). CONCLUSION: Both PVP and TmLRP are effective and safe for the treatment of aged high-risk BPH patients with the prostate heavier than 80 g, but the latter is superior for its shorter operation time and lower surgical cost. FAU - Liu, Chun-lai AU - Liu CL AD - Department of Urology, The Fourth Hospital of China Medical University, Shenyang, Liaoning 110032, China. lcllmh@126.corn FAU - Xue, Dong-wei AU - Xue DW FAU - Liu, Yi-li AU - Liu YL FAU - Wang, Ping AU - Wang P LA - chi PT - Comparative Study PT - Controlled Clinical Trial PT - English Abstract PT - Journal Article PL - China TA - Zhonghua Nan Ke Xue JT - Zhonghua nan ke xue = National journal of andrology JID - 101093592 RN - 8RKC5ATI4P (Thulium) SB - IM MH - Aged MH - Aged, 80 and over MH - Humans MH - Laser Therapy/*methods MH - Male MH - Middle Aged MH - Prostatic Hyperplasia/*surgery MH - Thulium/*administration & dosage/therapeutic use MH - Transurethral Resection of Prostate/methods MH - Treatment Outcome MH - Volatilization EDAT- 2011/08/16 06:00 MHDA- 2011/12/13 00:00 CRDT- 2011/08/16 06:00 PHST- 2011/08/16 06:00 [entrez] PHST- 2011/08/16 06:00 [pubmed] PHST- 2011/12/13 00:00 [medline] PST - ppublish SO - Zhonghua Nan Ke Xue. 2011 May;17(5):431-4.