[Photoselective laser vaporization of complicated prostatic adenoma]

The aim of the study was to determine indications for use of photoselective laser vaporization of the prostate (PVP) in clinical practice and to evaluate long-term results of this method. Since September 2005 to February 2007 a total of 106 patients aged 55-95 years with prostatic adenoma were operated. The patients were divided into two groups: group 1--patients with PA stage II (n = 45 patients), group 2--with stage III (n = 56 patients). Group 2 patients had complications: acute urinary retention (n = 25), epicystostoma for more than 1 year (n = 16), uroliths (n = 6), other (n = 9). Good results were achieved. All the patients were discharged with recovery (could urinate without help). Hospital stay averaged 7-8 days, duration of catheterization was 2-5 days, bleeding of small intensity was in 1.7%. The 1.5-year follow-up demonstrated that IPSS was decreased and mean peak flow rate was reduced (from 0 to 2,3 points and from 25.1 ml/s to 19.0 ml/s, respectively). Photoselective laser vaporization improves quality of life in prostatic adenoma at all stages of the disease. In patients with severe associated pathology PVP is the only radical treatment today.