Initial Experience of High Power Diode Laser for Vaporization of Prostate

Muhammad Rafiq Zaki; Mujahid  Hussain; Tahir  Mehmood; Murtaza  Hiraj

doi:10.29054/apmc/2014.385

Muhammad Rafiq Zaki Associate Professor Sharif Medical & Dental College, Lahore
Mujahid Hussain National Hospital and Medical Center, Lahore
Tahir Mehmood National Hospital and Medical Center, Lahore
Murtaza Hiraj Assistant Professor Sharif Medical and Dental College Lahore

DOI: https://doi.org/10.29054/apmc/2014.385

Keywords: Lasers, prostatic hyperplasia, urinary bladder neck obstruction

Abstract

Objectives: Prospective evaluation and experience of high power diode, 980nm diode laser for bladder outlet obstruction due to enlarged prostate. Methods: Total of 50 patients were included in the study. International prostate symptom score, quality of life, international index of erectile function-5, prostate specific antigen and prostate volume were compared with values at three months and six months postoperatively. Results: At the end of three months of postoperative period, the mean± SD international prostate symptom score decreased significantly from 20.83±3.77 to 9.23± 2.79(p=0.0001). The mean maximal flow rate increased significantly from 8.23 ±2.12 to 18.56± 5.09 ml per sec (p=0.0001). Quality of life score changed considerably as compared to baseline. There was no deterioration in erectile function according to the international index of erectile function-5 short form. Conclusion: The high power diode laser provides significant improvements in International Prostate Symptom Score and the maximal flow rate with low morbidity.