良性前列腺增生（benignprostatichyperplasia，702临床研究·保留性功能的450nm蓝激光汽化术治疗前列腺增生症20例报告满超，郝晓航，李腾，胡燕，屠凡倬，高文举，胡遵杰，王昊星，赵永伟（泰安市中心医院迎胜院区泌尿肾病激光治疗中心，山东泰安271000)Sexualfunction-preserving450nmbluelaservaporizationinthetreatmentofbenignprostatichyperplasia:areportof20casesMANChao,HAOXiaohang,LITeng,HUYan,TUFanzhuo,GAOWenju,HUZunjie,WANGHaoxing,ZHAOYongwei(UrinaryNephropathyLaserTreatmentCenter,YingshengBranchofTaianCentralHospital,Taian271000,China)ABSTRACT:ObjectiveToexploretheeffectsofsexualfunction-preserving450nmbluelaservaporizationoftheprostateonthepostoperativesexualfunctionofpatientswithbenignprostatichyperplasia(BPH),andtoevaluatetheclinicalefficacy,safetyandfeasibilityofthisprocedure.MethodsTheclinicaldataof20BPHpatientstreatedinourdepartmentduringJan.andMar.2023wereanalyzed.TheInternationalProstateSymptomScore(IPSS),QualityofLifeScale(QoL)score,maximumurinaryflowrate(Qmax),residualurinevolume(PVR)andInternationalIndexofErectileFunction(IIEF-5)datawerecomparedbeforeandaftertheoperation.Theoperationtime,postoperativecatheterindwellingtime,andhospitalstaywererecorded.Theejaculationstatus2monthsafteroperationwasfollowedup.ResultsAll20patientscompletedtheoperationsuccessfully.Theoperationtimewas(13.41±4.30)min,catheterindwellingtime(1.2±0.4)d,andhospitalstay(3.0±0.6)d.TheIPSS,QoL,PVRandQmaxdata1monthafteroperationweresignificantlyimprovedcomparedwiththosebeforeoperation(P0.05).ConclusionThemodified450nmbluelaservaporizationoftheprostatecanimprovetheurinationsymptomsofBPHpatientswhileretainingsexualfunction.ItisasafeandfeasibletechniqueforBPHpatientswhohavesexualneeds,andprovidesanalternativesurgicalapproachforthoselookingtopreservesexualfunction.KEYWORDS:450nmbluelaser;benignprostatichyperplasia;transurethralrecectionoftheprostate;sexualfunctionprese...
