[Photoselective vaporization in treatment of benign prostatic hyperplasia in elderly and senile men]

The article presents the results of photoselective laser vaporization of the prostate (PVP) performed in 50 men aged 71.84 +/- 6.3 years with obstructive form of BPH. The operation was performed with the use of 80 W potassium-titanyl-phosphate laser. All patients had complicated cardiac history (CHD, arterial hypertension, circulatory failure, artificial pacemakers). Intraoperative bleeding occurred in 1 (2%) patient and required electrocoagulation. There was no need for transfusion of blood components in any cases. The patient's condition, blood pressure and heart rate remained stable during all surgeries. During the follow-up period, the positive dynamics in IPSS and QoL scores, as well as prostate volume, peak urine flow rate, and residual urine volume were observed. Thus, the PVP method is a good alternative to transurethral prostatic resection, especially for patients with burdened anamnesis