Application value of multi-parameter nuclear magnetic resonance in the use of holmium laser enucleation for large prostate
ZHU Liangyong
LU Shengming
HUANG Tianbao
LUAN Yang
TAN Xiao
WU Shang
ZHANG Yetong
DING Xuefei
Abstract：Objective To investigate the application value of multiparametric magnetic resonance imaging(mpMRI)in the use of holmium laser enucleation of the prostate(HoLEP)for hypertrophic prostate.Methods Clinical data of patients who underwent HoLEP at Northern Jiangsu People's Hospital from January 2019 to December 2023 were analyzed retrospectively.The patients whose prostate volumes were greater than 150 mL with complete clinical and follow-up treatment were selected and divided into the observation group and the control group based on whether they underwent mpMRI before surgery.The periopera-tive data and postoperative follow-up data of the two groups of patients were collected.The preoperative baseline data,intraopera-tive and postoperative related indicators of the two groups of patients were statistically analyzed,and the follow-up treatment was statistically analyzed to evaluate the impact of mpMRI on surgery.Results Fifty-nine patients were recruited,of whom 31 were assigned to the observation group and 28 to the control group.All the surgeries for the patients were successfully completed.And the operation time in the observation group was significantly shorter than that in the control group([188.2±20.7]min vs[241.4±34.4]min,P＜0.05).In the observation group,the postoperative descent degree of Hb,drainage time and postoper-ative catheter removal time were also significantly shorter than those of control group(all P＜0.05).The incidence of postopera-tive urinary incontinence was 35.5％in the observation group,which was significantly lower than that in the control group(64.3％,P＜0.05).However,there was no statistically significant difference in the degree of urinary incontinence(P＞0.05).The incidence of perioperative blood transfusion was 17.9％in the control group,which was higher than that in the ob-servation group(6.5％),but there was no statistically significant difference(P＞0.05).After the first-month of follow-up,the IPSS score,QoL score,and Qmax after surgery in both of two groups significantly improved.And the PVR was significantly reduced.While urinary incontinence was significantly improved without significant difference between the two groups(P＞0.05).Conclusion For cases with HoLEP,mpMRI provides a personalized surgical plan for patients,which improves the safety of the surgery.
Keywords：prostatic hyperplasialarge volumeholmium laser prostate enucleationmultiparametric magnetic resonance imagingsafety
Publication Date：2025-12-20
Online Publishing Date：2026-01-22(First online date of this platform, not the publication date of the document)
Pages：6( 1076-1081 )