Clinical application of holmium laser enucleation of prostate with key directional vessel prehemostasis technique

Objective To investigate the clinical effect of holmium laser enucleation of the prostate (HoLEP) of large volume benign prostate hyperplasia with key directional vascular prehemostasis technique.

Methods A total of 86 patients with BPH were selected as study subjects, and were randomly divided into observation group (n=42) and control group (n=46). In HoLEP, the observation group was treated with key directional vascular prehemostasis technique, while the control group was treated with conventional vascular hemostasis. The time of enucleation, decreased amount of hemoglobin, postoperative bladder flushing time, indwelling catheter time and postoperative hospital stay were compared between the two groups.

Results Surgery was successfully completed in both groups. The decrease of intraoperative hemoglobin in the observation group was significantly lower than that in the control group, and the duration of postoperative bladder flushing was significantly shorter than that in the control group (P < 0.05). There were no postoperative complications in the two groups.

Conclusion In large volume prostatic HoLEP, the application of key directional vessel prehemostasis technique has a better effect, which can reduce intraoperative blood loss and shorten postoperative recovery time for patients with large volume BPH.