Laser prostatectomy : the start of new era of prostate surgery in Iraq

Abstract EN

This study was done to evaluate a newly introduced technology to my country to determine the safety of the procedure, to what extent can it reduce patient’s symptoms and what are the possible complications that are associated with it.

In addition to balance the benefits of the procedure to the draw backs, risks and complications.

The study enrolled forty-one patients with Benign prostatic hyperplasia, with high international prostate symptom score and low flow rate excluding other causes for that like stricture, stone or neurological causes.

A high power 180 W diode 980 nm LASER was used to vaporize the prostate recording data regarding the procedure and all patients were checked one month later for symptom scoring, flow-rate and ultrasound examination.

The mean size of the prostate gland 53.07 gm ±11.75 SD, the Mean operative time was 61.51 min.

The mean I-PSS was 9.82±1.88 SD compared to the pre-operative mean of 20.24±2.62 SD which is statistically significant (t (41) =17.66, P≤0.001).

The maximum flow-rate was 7.94 ml per second ± 2.41 SD before surgery and there was a significant rise of 14.15 ml per second ± 2.502 SD postoperatively (t (41) = -14.86, P≤0.001).

The only significant complication patients had was voiding irritative symptoms.

The results show clearly that 980 diode LASER is an effective procedure for the treatment of patients with benign prostatic hypertrophy, as well as being safe procedure that could be recommended as replacement for transurethral resection of the prostate with some reservations regarding the cost of the fiber