The Effect of Green Laser Vaporization Combined With Perioperative Levator Anal Training on Benign Prostatic Hyperplasia and Its Impact on Sexual Function
Objective To investigate the efficacy of green laser vaporization combined with perioperative levator anal training in the treatment of large volume benign prostatic hyperplasia(BPH).Methods A total of 60 patients with large volume BPH who were admitted to the department of urology,Dongguan Hospital of Integrated Traditional Chinese and Western Medicine from January 2022 to June 2023 were selected as the observation objects.Random number table method was used to group 30 cases each.The control group received green laser vaporization treatment,and the observation group was combined with perioperative levator anal training on the basis of the control group.The therapeutic effect and the effect on erectile function were compared between the two groups.Results Six months after operation,international prostate symptom score(IPSS)of the observation group was(4.82±1.23)points,lower than(8.35±1.44)points of the control group.The quality of life score was(86.28±6.23)points,higher than(71.54±5.49)points of the control group(P＜0.05).One month after operation,the NPTR parameters of the observation group,such as the number of penile erection,the duration of head hardness ≥ 60％,the duration of root hardness ≥ 60％,the changes of head circumference diameter,and the changes of root circumference diameter were(2.98±0.61)times,(29.28±4.32)min,(30.62±4.24)min,(2.10±0.38)cm,(2.05±0.29)cm,which were better than(2.62±0.24)times,(24.52±3.50)min,(23.98±4.61)min,(1.96±0.30)cm,(1.95±0.21)cm of the control group(P＜0.05).The total incidence of adverse reactions of the observation group was 6.67％,which was lower than 26.67％of the control group(P＜0.05).Conclusion Green laser vaporization combined with perioperative levator anal training has significant effect in the treatment of large volume BPH,which can not only reduce the risk of postoperative erectile dysfunction,but also improve the prognosis and reduce the incidence of adverse reactions.
green laser vaporizationperioperative levator anal traininglarge volume BPHefficacyerectile functionsafety
NETL
NSTL
万方数据
