Lasers in Medical Science

, Volume 33, Issue 4, pp 891–897 | Cite as

Transurethral vaporesection of prostate: diode laser or thulium laser?

  • Xinji Tan
  • Xiaobo Zhang
  • Dongjie Li
  • Xiong Chen
  • Yuanqing Dai
  • Jie Gu
  • Mingquan Chen
  • Sheng Hu
  • Yao Bai
  • Yu Ning
Original Article
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Abstract

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 (Qmax), 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, Qmax, 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.

Keywords

Benign prostate hyperplasia Transurethral vaporesection of prostate Laser surgery Diode laser Thulium laser 

Notes

Compliance with ethical standards

Financial disclosure

The study was supported by the Natural Science Foundation of Hunan Province (Grant No. 14JJ7004) and Innovation Foundation For Postgraduate of Central South University (Grant No. 2017zzts887).

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

For this type of study, formal consent is not required.

Supplementary material

10103_2018_2499_MOESM1_ESM.docx (19 kb)
ESM 1 (DOCX 18 kb)

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Copyright information

© Springer-Verlag London Ltd., part of Springer Nature 2018

Authors and Affiliations

  • Xinji Tan
    • 1
    • 2
  • Xiaobo Zhang
    • 1
    • 2
    • 3
    • 4
  • Dongjie Li
    • 1
  • Xiong Chen
    • 1
  • Yuanqing Dai
    • 2
  • Jie Gu
    • 1
    • 2
  • Mingquan Chen
    • 1
    • 2
  • Sheng Hu
    • 1
    • 2
  • Yao Bai
    • 1
    • 2
    • 4
  • Yu Ning
    • 5
  1. 1.Xiangya International Medical Center, Xiangya HospitalCentral South UniversityChangshaChina
  2. 2.The Department of Geriatric Urology, Xiangya HospitalCentral South UniversityChangshaChina
  3. 3.Urolithiasis Institute of Central South University, Xiangya HospitalCentral South UniversityChangshaChina
  4. 4.The Department of Urology, Xiangya HospitalCentral South UniversityChangshaChina
  5. 5.The Department of Anesthesiology, Xiangya HospitalCentral South UniversityChangshaChina

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