Benign prostatic hyperplasia with large gland volume considerably disturbs patients’ individual quality of life. In recent years, a contemporary specialized International Prostate Symptom Score has been introduced among these patients in other countries. The results from the use of this score in 28 patients treated by means of transurethral thulium laser vapor resection and vaporization during the period between 2015 and 2018 at Maichin Dom Multiprofile Hospital for Active Treatment – Varna, are presented. The patients were at a mean age of 72.61 ± 7.765 years (range, 56 to 83 years) and with a mean prostatic volume of 156.71 ± 43.014 mL (range, 90 to 260 mL). The average total International Prostate Symptom Score in all patients prior to the operation amounted to 28.50 (range, 22 to 35), corresponding to a severe degree of disturbed quality of life. After three months, a considerable reduction of this score down to 2.14 (range, 0 to 5) occurred, which testified to a substantial improvement in the quality of life parameters analyzed. The main rating of the individual quality of life of patients with urinary symptoms also diminished considerably following the operative intervention (from 5.46 down to 0.61), proving their improvement in quality of life. Transurethral thulium laser vapor resection and vaporization in patients with benign prostatic hyperplasia is very effective in terms of improving quality of life.
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