Clinical effectiveness analysis of transurethral vaporization prostatectomy for benign prostatic hyperplasia

This study compares the clinical effectiveness and safety of transurethral vaporization prostatectomy (TUVP) and traditional transurethral resection of the prostate (TURP) in the treatment of benign prostatic hyperplasia (BPH), providing reference for clinical surgical selection. A total of 220 patients with BPH who were treated in our hospital from January 2022 to December 2024 were divided into an observation group (TUVP) and a control group (TURP), with 110 cases in each group. The surgical-related indicators (operative time, intraoperative blood loss, postoperative hospital stay, postoperative bladder irrigation time, and postoperative catheter indwelling time), urinary function indicators (maximum urinary flow rate Qmax, postvoid residual urine volume PVR, International Prostate Symptom Score (IPSS), and quality of life score (QoL), and postoperative complications were compared between the 2 groups. The observation group had significantly shorter operative time, postoperative hospital stay, postoperative bladder irrigation time, and postoperative catheter indwelling time than the control group (P < .05), and significantly less intraoperative blood loss (P < .001). Both groups showed significant improvements in Qmax, PVR, IPSS, and QoL at each postoperative time point compared to preoperatively (P < .001), but there were no significant differences between the 2 groups at each postoperative time point (P > .05). The total incidence of postoperative complications in the observation group was significantly lower than that in the control group (P = .033). TUVP has advantages in treating BPH, including shorter operative time, less intraoperative bleeding, faster postoperative recovery, and fewer complications, especially suitable for elderly and high-risk patients. Both surgical methods show similar effectiveness in improving urinary function, but TUVP has a better advantage in controlling postoperative complications. The appropriate surgical method should be chosen based on the specific conditions of the patient in clinical practice.