PMID- 29633057 OWN - NLM STAT- MEDLINE DCOM- 20180615 LR - 20181202 IS - 1435-604X (Electronic) IS - 0268-8921 (Linking) VI - 33 IP - 4 DP - 2018 May TI - Transurethral vaporesection of prostate: diode laser or thulium laser? PG - 891-897 LID - 10.1007/s10103-018-2499-4 [doi] AB - This study compared the safety and effectiveness of the diode laser and thulium laser during prostate transurethral vaporesection for treating benign prostate hyperplasia (BPH). We retrospectively analyzed 205 patients with BPH who underwent a diode laser or thulium laser technique for prostate transurethral vaporesection from June 2016 to June 2017 and who were followed up for 3 months. Baseline characteristics of the patients, perioperative data, postoperative outcomes, and complications were compared. We also assessed the International Prostate Symptom Score (IPSS), quality of life (QoL), maximum flow rate (Q(max)), average flow rate (AFR), and postvoid residual volume (PVR) at 1 and 3 months postoperatively to evaluate the functional improvement of each group. There were no significant differences between the diode laser and thulium laser groups related to age, prostate volume, operative time, postoperative hospital stays, hospitalization costs, or perioperative data. The catheterization time was 3.5 +/- 0.8 days for the diode laser group and 4.7 +/- 1.8 days for the thulium laser group (p < 0.05). Each group had dramatic improvements in IPSS, QoL, Q(max), AFR, and PVR compared with the preoperative values (p < 0.05), although there were no significant differences between the two groups. Use of both diode laser and thulium laser contributes to safe, effective transurethral vaporesection in patients with symptomatic BPH. Diode laser, however, is better than thulium laser for prostate transurethral vaporesection because of its shorter catheterization time. The choice of surgical approach is more important than the choice of laser types during clinical decision making for transurethral laser prostatectomy. FAU - Tan, Xinji AU - Tan X AD - Xiangya International Medical Center, Xiangya Hospital, Central South University, Changsha, 41008, Hunan, China. AD - The Department of Geriatric Urology, Xiangya Hospital, Central South University, Changsha, Hunan, China. FAU - Zhang, Xiaobo AU - Zhang X AD - Xiangya International Medical Center, Xiangya Hospital, Central South University, Changsha, 41008, Hunan, China. xiaobozxb@163.com. AD - The Department of Geriatric Urology, Xiangya Hospital, Central South University, Changsha, Hunan, China. xiaobozxb@163.com. AD - Urolithiasis Institute of Central South University, Xiangya Hospital, Central South University, Changsha, Hunan, China. xiaobozxb@163.com. AD - The Department of Urology, Xiangya Hospital, Central South University, Changsha, Hunan, China. xiaobozxb@163.com. FAU - Li, Dongjie AU - Li D AD - Xiangya International Medical Center, Xiangya Hospital, Central South University, Changsha, 41008, Hunan, China. FAU - Chen, Xiong AU - Chen X AD - Xiangya International Medical Center, Xiangya Hospital, Central South University, Changsha, 41008, Hunan, China. FAU - Dai, Yuanqing AU - Dai Y AD - The Department of Geriatric Urology, Xiangya Hospital, Central South University, Changsha, Hunan, China. FAU - Gu, Jie AU - Gu J AD - Xiangya International Medical Center, Xiangya Hospital, Central South University, Changsha, 41008, Hunan, China. AD - The Department of Geriatric Urology, Xiangya Hospital, Central South University, Changsha, Hunan, China. FAU - Chen, Mingquan AU - Chen M AD - Xiangya International Medical Center, Xiangya Hospital, Central South University, Changsha, 41008, Hunan, China. AD - The Department of Geriatric Urology, Xiangya Hospital, Central South University, Changsha, Hunan, China. FAU - Hu, Sheng AU - Hu S AD - Xiangya International Medical Center, Xiangya Hospital, Central South University, Changsha, 41008, Hunan, China. AD - The Department of Geriatric Urology, Xiangya Hospital, Central South University, Changsha, Hunan, China. FAU - Bai, Yao AU - Bai Y AD - Xiangya International Medical Center, Xiangya Hospital, Central South University, Changsha, 41008, Hunan, China. AD - The Department of Geriatric Urology, Xiangya Hospital, Central South University, Changsha, Hunan, China. AD - The Department of Urology, Xiangya Hospital, Central South University, Changsha, Hunan, China. FAU - Ning, Yu AU - Ning Y AD - The Department of Anesthesiology, Xiangya Hospital, Central South University, Changsha, Hunan, China. LA - eng GR - 2017zzts887/Innovation Foundation For Postgraduate of Central South University/ GR - 14JJ7004/Natural Science Foundation of Hunan Province (CN)/ PT - Comparative Study PT - Journal Article DEP - 20180410 PL - England TA - Lasers Med Sci JT - Lasers in medical science JID - 8611515 SB - IM MH - Aged MH - Humans MH - *Lasers, Semiconductor MH - Length of Stay MH - Male MH - Middle Aged MH - Operative Time MH - Postoperative Period MH - Prostatic Hyperplasia/*surgery MH - Quality of Life MH - Retrospective Studies MH - Transurethral Resection of Prostate/*methods MH - Treatment Outcome OTO - NOTNLM OT - Benign prostate hyperplasia OT - Diode laser OT - Laser surgery OT - Thulium laser OT - Transurethral vaporesection of prostate EDAT- 2018/04/11 06:00 MHDA- 2018/06/16 06:00 CRDT- 2018/04/11 06:00 PHST- 2017/12/05 00:00 [received] PHST- 2018/03/27 00:00 [accepted] PHST- 2018/04/11 06:00 [pubmed] PHST- 2018/06/16 06:00 [medline] PHST- 2018/04/11 06:00 [entrez] AID - 10.1007/s10103-018-2499-4 [pii] AID - 10.1007/s10103-018-2499-4 [doi] PST - ppublish SO - Lasers Med Sci. 2018 May;33(4):891-897. doi: 10.1007/s10103-018-2499-4. Epub 2018 Apr 10.