Abstract

  Purpose : To examine the photoselective vaporization of the prostate (PVP) postoperative urination states in patients with urinary retention.

  Patient and Methods : From July 2011 to May 2018, among 939 patients who underwent PVP, we selected 132 cases (39 self-catheterization ; 93 urethral catheterization) who showed urinary retention just before a surgery. We examined the presence of self-urination during postoperative 1 month and 3 months just after a surgery.

  Result : In patients with urinary retention (average age, 74 ［54-101］ years), preoperative estimated prostatic volume was 77 (11-276) mL, mean operative time of PVP was 106 (14-225) minutes, mean laser time was 64 (7-156) minutes. Self-urination was observed in 100％ patients at three months after surgery.

  Conclusion : Our data suggest that the enforcement of PVP is effective for ADL and QOL improvement in patients with urinary retention.