In this study, we tried to check the feasibility of not giving bladder irrigation strategy after transurethral holmium laser enucleation of the prostate (HoLEP) for the treatment of benign prostatic hyperplasia (BPH). From January 2019 to January 2020, the clinical data of 40 patients who received no bladder irrigation after HoLEP (Group A) was studied. The control group contained the clinical data of 60 patients in the same therapy group (from January 2019 to January 2020) who received continuous bladder irrigation after HoLEP (Group B). The baseline was consistent after applying Individual matching method and the differences between groups were compared. The End points of the study were Pre‐and Postoperative complications, international prostate symptom score (IPSS), quality oflife (QOL), Maximum urinary flow rate (Qmax) and Postvoid residual urine (PVR) of the two groups were compared, accompanied by a follow‐up evaluation of surgical effects. Thirty two pairs of patients were successfully matched by Individual matching technique. There was no statistically significant difference in the intraoperative conditions and the incidence of early postoperative complications between the two groups (p>0.05). Before and one month after the surgery, significant differences were also found in the IPSS, QOL, Qmax, and PVR of both groups (p<0.05). Within one month after the surgery, no statistically significant difference was found in IPSS,QOL, Qmax, PVR, or the incidence of early postoperative complications between the two groups (p>0.05). For appropriately selected patients according to the exclusion criteria, the no bladder irrigation strategy after HoLEP for BPH is safe and effective.
Sandeep M. Desai, P. G. Panchal and P. T. Jamdade. No Bladder Irrigation v/s Continuous Bladder Irrigation After HoLEP: Analysis Showing Which is
Better.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.1.144.148
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.1.144.148