AB027. Clinical analysis of transurethral vaporesection of the prostate using the 2-micron continuous wave laser for the treatment of benign prostatic hyperplasia
نویسنده
چکیده
The present study aimed to evaluate the effects of transurethral dividing vaporesection of the prostate in the management of benign prostatic hyperplasia (BPH). From October 2006 to June 2012, a total of 377 patients who met the inclusion criteria with low urinary tract symptom secondary to BPH were treated transurethrally under epidural or sacral anesthesia using the dividing vaporesection technique. Of these 203 had a prostate volume of ≤80 mL and 174 had a prostate volume of >80 mL. Preand post-operative data were evaluated for prostate-specific antigen (PSAs, post-void residual volume (PVR), maximum urinary flow rate (Qmax), International Prostate Symptom Score (IPSS) and quality of life (QoL). Out of the 377 cases, 369 cases were followed up to S212 Translational Andrology and Urology, Vol 6, Suppl 3 August 2017 © Translational Andrology and Urology. All rights reserved. Transl Androl Urol, 2017;6(S3) tau.amegroups.com 5 years finally. All the surgical procedures were successfully conducted under epidural or general anesthesia. Mean operation time was 79±21 minutes, and mean retrieved prostatic tissue was 22.7±5.6 g. Resected prostatic tissues could be easily flashed out of the bladder. There were no significant differences in serum sodium concentrations and hemoglobin levels before and after the surgery. Mean catheter time and hospital stay was 121±47 hours and 5.5±2.0 days respectively. During follow up, Qmax increased from 8.1±3.7 mL/s preoperatively to 4.5±3.9 mL/s by the end of the follow up (P<0.05), IPSS and QoLScore improved from 23.6±4.7 and 3.8±0.9 to 5.7±2.6 and 1.6±1.2 respectively (P<0.05), and PVR decreased from 244±73 to 28±22 mL. The data indicated that transurethral vaporesection of prostate using the 2-micron continuous wave laser system is a safe and effective treatment for BPH.
منابع مشابه
Clinical study on the application of a 2-μm continuous wave laser in transurethral vaporesection of the prostate
The present study aimed to evaluate the method and clinical effects of transurethral dividing vaporesection of the prostate in the management of benign prostatic hyperplasia (BPH) using the RevoIix 70 W 2-μm continuous wave (cw) laser. A total of 155 BPH patients were treated transurethrally under epidural or sacral anesthesia using the dividing vaporesection technique. Of these, 80 had a prost...
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PURPOSE To evaluate clinical efficacy and safety of two micron laser vaporesection combined with transurethral resection of the prostate (TURP) in treating benign prostatic hyperplasia (BPH). METHODS In total, 340 BPH patients aged 62-86 years, were treated with two micron laser vaporesection plus TURP. Mean prostatic volume was measured as 38-182 ml. Operative time, intraoperative hemorrhage...
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Endoscopic vaporesection of the prostate using the continuous-wave 2-microm thulium laser: outcome and demonstration of the surgical technique.
BACKGROUND The potential of a new continuous-wave (CW) 70-W, 2.013-microm thulium-doped yttrium aluminium garnet (Tm:YAG) laser for the endoscopic treatment of benign prostatic hyperplasia (BPH) is investigated. OBJECTIVE The simultaneous combination of vaporisation and resection of prostatic tissue in a retrograde fashion is the main characteristic of this new laser technique. We provide a D...
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