Prostate volume did not affect voiding function improvements in diode laser enucleation of the prostate

Area of Science:

• Urology
• Minimally Invasive Surgery
• Laser Technology

Background:

• Benign prostatic obstruction (BPO) is a common condition affecting aging men.
• Surgical intervention is often required to alleviate BPO symptoms.
• Diode laser enucleation has emerged as a minimally invasive treatment option.

Purpose of the Study:

• To compare the safety and surgical outcomes of diode laser enucleation for BPO in patients with different prostate sizes.
• To evaluate the efficacy of diode laser enucleation in relation to prostate volume.

Main Methods:

• A retrospective analysis of 120 consecutive patients undergoing diode laser prostate enucleation (980 nm) between 2008 and 2012.
• Patients were stratified into two groups based on preoperative prostate volume: Group 1 (<60 ml) and Group 2 (≥60 ml).
• Perioperative characteristics and postoperative outcomes were compared between the two groups.

Main Results:

• Group 2 (larger prostates) exhibited significantly longer operative times and higher tissue retrieval compared to Group 1.
• No significant difference was observed in postoperative hemoglobin decrease between the groups.
• Group 2 demonstrated a significantly lower rate of temporary postoperative urinary retention.

Conclusions:

• Diode laser enucleation is a safe and effective treatment for BPO across various prostate sizes.
• While larger prostates necessitate longer operative times, functional outcomes and complication rates are comparable.
• The procedure offers comparable improvements in voiding function and complication rates for both smaller and larger prostates.