The Advantages of DiLEP Operation in the Treatment of BPH Patients and the Observation of Postoperative Urinary Control Effect

Abstract

To evaluate the efficacy of Semiconductor laser trefoil enucleation of the prostate (DiLEP) in the treatment of patients with benign prostatic hyperplasia (BPH). Methods: 120 BPH patients scheduled for prostate surgery in our hospital were randomly divided into two groups: study group (DiLEP treatment) and control group (transurethral plasma bipolar resection of the prostate treatment), with 60 cases in each one. Surgical process indicators, postoperative rehabilitation indicators, Qmax before and after surgery, post-void residual volume (PVR), international prostate symptom score (IPSS), hemoglobin (Hb), urinary control and surgical complications for two groups were compared. Results: The operation time, intraoperative blood loss, bladder irrigation time, urinary catheter indwelling time and hospital stay in the study group were lower than those in the control group (P<0.05). The weight of resected tissue in the study group was higher than that in the control group (P <0.05). The difference in Qmax, PVR, IPSS scores and Hb between the study group and the control group before operation and one month after operation had no statistical significance (P>0.05). The Qmax and Hb scores in the study group were higher than those in the control group (P<0.05), while the PVR and IPSS scores were lower than those in the control group (P<0.05); five days and two weeks after operation, the urinary control rates in the study group were all higher than that in the control group (P<0.05); one month after operation, the difference in the urinary control rates between the two groups had no statistical significance (P>0.05); the difference in the surgical complication rate between the study group and the control group had no stastiscal significance (P>0.05). Conclusion: DiLEP is beneficial for early recovery of urodynamics in patients with BPH, with less trauma and faster recovery of urinary control after surgery.