Investig Clin Urol.  2018 Nov;59(6):392-398. 10.4111/icu.2018.59.6.392.

Outcome of 980 nm diode laser vaporization for benign prostatic hyperplasia: A prospective study

Affiliations
  • 1Department of Urology, The Kidney Centre Post Graduate Training Institute, Karachi, Sindh, Pakistan. Dr.hammad.mithani@gmail.com

Abstract

PURPOSE
To evaluate the initial experience and outcome of photo-selective vaporization of the prostate (PVP) for benign prostatic hyperplasia (BPH) in Pakistan with the use of a 980 nm diode laser.
MATERIALS AND METHODS
A prospective study was performed from November 2016 to December 2017. A total of 100 patients diagnosed with bladder outlet obstruction secondary to BPH who planned for PVP were enrolled in the study. PVP was carried out with a diode laser at 980 nm (Biolitec Diode 180W laser) in a continuous wave with a 600 nm (twister) fiber. Baseline characteristics and perioperative data were compared. Postoperative outcomes were evaluated by International Prostate Symptom Score (IPSS), post void residual (PVR) and maximum urinary flow rate (Qmax) at 3 and 6 months after surgery.
RESULTS
The mean age was 65.82±10.42, mean prostate size was 67.35±16.42, operative time was 55.85±18.01 and total energy was 198.68±49.12 kJ. At 3 months and 6 months, significant improvements were noted (p < 0.001) in IPSS 7.04±1.69 (−18.92), Qmax 19.22±4.75 mL/s (+13.09) and and PVR 18.89±5.39 mL (−112.80). Most frequent problems were burning micturition (35%) and terminal dysuria (29%). No significant difference in postoperative hemoglobin was seen in patients who were on anti-platelet drugs.
CONCLUSIONS
PVP with a diode laser is a safe and effective procedure for the treatment of BPH and is also safe in patients who are on anti-platelet agents.

Keyword

Lasers; Prostatic hyperplasia; Semiconductor diode lasers; Treatment outcome; Vaporization

MeSH Terms

Burns
Dysuria
Humans
Lasers, Semiconductor*
Operative Time
Pakistan
Prospective Studies*
Prostate
Prostatic Hyperplasia*
Treatment Outcome
Urinary Bladder Neck Obstruction
Urination
Volatilization*

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