Department of Urology, Università Campus Bio-Medico di Roma, Rome, Italy.
Department of Urology, "Hesperia Hospital", and CURE Group, Modena, Italy.
World J Urol. 2024 Jan 27;42(1):60. doi: 10.1007/s00345-023-04762-9.
In recent years, water vapor thermal therapy (WVTT) has spread as minimally invasive technique in lower urinary tract symptoms due to benign prostatic hyperplasia treatment. Even if its safety and feasibility have been largely proved in young men, nobody has proved the same feasibility and safety in the elderly (men older than 75 years old). Our aim is to compare WVTT safety outcomes in men older than 75 with younger men.
We prospectively collected data on men who underwent water vapor thermal therapy from 2019. We compared data on operative time, number of injections, intra-operative and post-operative complications, reinterventions rate.
We enrolled 426 patients; among these, 60 were older than 75 years old, 366 were younger. Our cohorts of patients had similar results in terms of intra-operative and post-operative complications. Operative time accounts about 11 min for both groups (p = 0.535), total number of injections was seven for young men and eight for elderly (p = 0.314). We found no intra-operative complications in elderly men group and only one in the younger group (p = 0.678), while five younger men underwent clot retention, and two elderly men experienced this complication (p = 0.239). Only one transfusion occurred in the elderly group. No differences between groups occurred in terms of length of stay, post-operative urinary retention and reintervention rate, while catheterization time was longer in the elderly men.
WVTT is a safe procedure in elderly patients with comparable intra-operative and post-operative complication rate in comparison with younger patients.
近年来，由于良性前列腺增生症的治疗，水蒸气热疗（WVTT）作为一种微创技术在治疗下尿路症状方面得到了广泛应用。尽管其在年轻男性中的安全性和可行性已得到广泛证实，但在 75 岁以上的老年男性中，还没有人证明其具有相同的可行性和安全性。我们的目的是比较 75 岁以上男性和年轻男性接受 WVTT 的安全性结果。
我们前瞻性地收集了 2019 年以来接受水蒸气热疗的男性患者的数据。我们比较了手术时间、注射次数、术中及术后并发症、再次干预率等数据。
我们共纳入 426 例患者；其中，60 例年龄大于 75 岁，366 例年龄小于 75 岁。我们的两组患者在术中及术后并发症方面的结果相似。两组的手术时间均约为 11 分钟（p=0.535），年轻男性的总注射次数为 7 次，老年男性为 8 次（p=0.314）。我们发现老年男性组术中无并发症，而年轻男性组仅 1 例（p=0.678），5 例年轻男性发生血块滞留，2 例老年男性发生该并发症（p=0.239）。老年组仅发生 1 例输血。两组在住院时间、术后尿潴留和再次干预率方面无差异，而老年男性的导尿时间较长。
WVTT 是一种安全的手术，在老年患者中的术中及术后并发症发生率与年轻患者相当。
