An Analytical Comparison of Short-term Effectiveness and Safety Between Thulium:YAG Laser Vaporesection of the Prostate and Bipolar Transurethral Resection of the Prostate in Patients With Benign Prostatic Hyperplasia
Identifieur interne : 000354 ( Main/Exploration ); précédent : 000353; suivant : 000355An Analytical Comparison of Short-term Effectiveness and Safety Between Thulium:YAG Laser Vaporesection of the Prostate and Bipolar Transurethral Resection of the Prostate in Patients With Benign Prostatic Hyperplasia
Auteurs : Joon Woo Kim [Corée du Sud] ; Yeon Joo Kim [Corée du Sud] ; Yoon Hyung Lee [Corée du Sud] ; Joon Beom Kwon [Corée du Sud] ; Sung Ryong Cho [Corée du Sud] ; Jae Soo Kim [Corée du Sud]Source :
- Korean Journal of Urology [ 2005-6737 ] ; 2014.
Abstract
In recent years, laser surgery has been widely used to treat benign prostatic hyperplasia (BPH). A thulium:yttrium-aluminium-garnet (Tm:YAG) laser was recently introduced for BPH surgery. We compared the effectiveness and safety of Tm:YAG laser vaporesection of the prostate (ThuVaRP) with that of bipolar transurethral resection of the prostate (TURP).
From January 2010 to December 2012, 86 patients underwent surgical treatment for symptomatic BPH by a single surgeon. We retrospectively analyzed and compared the medical records of 43 patients who underwent ThuVaRP and 43 patients who underwent bipolar TURP. All patients were assessed by using the International Prostate Symptom Score, transrectal ultrasonography, the serum prostate-specific antigen (PSA) level, uroflowmetry, and postvoid residual volume before and 1 month after surgery. All complications were compared between the two groups.
ThuVaRP was superior to TURP in catheterization time (p<0.001) and length of hospital stay (p<0.001). However, operation time was longer with ThuVaRP than with TURP (p<0.001). In patients with a large prostate (>50 g), operation time was much longer with ThuVaRP. One month after surgery, the decrease in PSA was greater (p=0.045) with ThuVaRP than with TURP, and the increase in maximal urine flow rate was greater (p<0.001) with ThuVaRP than with TURP. The postoperative complication transient urinary incontinence was significantly different between the ThuVaRP group (nine cases, 20.9%) and the TURP group (two cases, 4.7%). Other complications were comparable between groups.
The effectiveness and safety of ThuVaRP and TURP were comparable. ThuVaRP is a promising alternative surgical technique to TURP for BPH.
Url:
DOI: 10.4111/kju.2014.55.1.41
PubMed: 24466396
PubMed Central: 3897629
Affiliations:
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Prostatic Hyperplasia</title><author><name sortKey="Kim, Joon Woo" sort="Kim, Joon Woo" uniqKey="Kim J" first="Joon Woo" last="Kim">Joon Woo Kim</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Urology, Daegu Fatima Hospital, Daegu, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Urology, Daegu Fatima Hospital, Daegu</wicri:regionArea><wicri:noRegion>Daegu</wicri:noRegion></affiliation></author><author><name sortKey="Kim, Yeon Joo" sort="Kim, Yeon Joo" uniqKey="Kim Y" first="Yeon Joo" last="Kim">Yeon Joo Kim</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Urology, Daegu Fatima Hospital, Daegu, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Urology, Daegu Fatima Hospital, Daegu</wicri:regionArea><wicri:noRegion>Daegu</wicri:noRegion></affiliation></author><author><name sortKey="Lee, Yoon Hyung" sort="Lee, Yoon Hyung" uniqKey="Lee Y" first="Yoon Hyung" last="Lee">Yoon Hyung Lee</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Urology, Daegu Fatima Hospital, Daegu, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Urology, Daegu Fatima Hospital, Daegu</wicri:regionArea><wicri:noRegion>Daegu</wicri:noRegion></affiliation></author><author><name sortKey="Kwon, Joon Beom" sort="Kwon, Joon Beom" uniqKey="Kwon J" first="Joon Beom" last="Kwon">Joon Beom Kwon</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Urology, Daegu Fatima Hospital, Daegu, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Urology, Daegu Fatima Hospital, Daegu</wicri:regionArea><wicri:noRegion>Daegu</wicri:noRegion></affiliation></author><author><name sortKey="Cho, Sung Ryong" sort="Cho, Sung Ryong" uniqKey="Cho S" first="Sung Ryong" last="Cho">Sung Ryong Cho</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Urology, Daegu Fatima Hospital, Daegu, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Urology, Daegu Fatima Hospital, Daegu</wicri:regionArea><wicri:noRegion>Daegu</wicri:noRegion></affiliation></author><author><name sortKey="Kim, Jae Soo" sort="Kim, Jae Soo" uniqKey="Kim J" first="Jae Soo" last="Kim">Jae Soo Kim</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Urology, Daegu Fatima Hospital, Daegu, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Urology, Daegu Fatima Hospital, Daegu</wicri:regionArea><wicri:noRegion>Daegu</wicri:noRegion></affiliation></author></analytic><series><title level="j">Korean Journal of Urology</title><idno type="ISSN">2005-6737</idno><idno type="eISSN">2005-6745</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p>In recent years, laser surgery has been widely used to treat benign prostatic hyperplasia (BPH). A thulium:yttrium-aluminium-garnet (Tm:YAG) laser was recently introduced for BPH surgery. We compared the effectiveness and safety of Tm:YAG laser vaporesection of the prostate (ThuVaRP) with that of bipolar transurethral resection of the prostate (TURP).</p></sec><sec><title>Materials and Methods</title><p>From January 2010 to December 2012, 86 patients underwent surgical treatment for symptomatic BPH by a single surgeon. We retrospectively analyzed and compared the medical records of 43 patients who underwent ThuVaRP and 43 patients who underwent bipolar TURP. All patients were assessed by using the International Prostate Symptom Score, transrectal ultrasonography, the serum prostate-specific antigen (PSA) level, uroflowmetry, and postvoid residual volume before and 1 month after surgery. All complications were compared between the two groups.</p></sec><sec><title>Results</title><p>ThuVaRP was superior to TURP in catheterization time (p<0.001) and length of hospital stay (p<0.001). However, operation time was longer with ThuVaRP than with TURP (p<0.001). In patients with a large prostate (>50 g), operation time was much longer with ThuVaRP. One month after surgery, the decrease in PSA was greater (p=0.045) with ThuVaRP than with TURP, and the increase in maximal urine flow rate was greater (p<0.001) with ThuVaRP than with TURP. The postoperative complication transient urinary incontinence was significantly different between the ThuVaRP group (nine cases, 20.9%) and the TURP group (two cases, 4.7%). Other complications were comparable between groups.</p></sec><sec><title>Conclusions</title><p>The effectiveness and safety of ThuVaRP and TURP were comparable. 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uniqKey="Bach T">T Bach</name></author><author><name sortKey="Imkamp, F" uniqKey="Imkamp F">F Imkamp</name></author><author><name sortKey="Georgiou, A" uniqKey="Georgiou A">A Georgiou</name></author><author><name sortKey="Burchardt, M" uniqKey="Burchardt M">M Burchardt</name></author><author><name sortKey="Oelke, M" uniqKey="Oelke M">M Oelke</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Corée du Sud</li></country></list><tree><country name="Corée du Sud"><noRegion><name sortKey="Kim, Joon Woo" sort="Kim, Joon Woo" uniqKey="Kim J" first="Joon Woo" last="Kim">Joon Woo Kim</name></noRegion><name sortKey="Cho, Sung Ryong" sort="Cho, Sung Ryong" uniqKey="Cho S" first="Sung Ryong" last="Cho">Sung Ryong Cho</name><name sortKey="Kim, Jae Soo" sort="Kim, Jae Soo" uniqKey="Kim J" first="Jae Soo" last="Kim">Jae Soo Kim</name><name sortKey="Kim, Yeon Joo" sort="Kim, Yeon Joo" uniqKey="Kim Y" first="Yeon Joo" last="Kim">Yeon Joo Kim</name><name sortKey="Kwon, Joon Beom" sort="Kwon, Joon Beom" uniqKey="Kwon J" first="Joon Beom" last="Kwon">Joon Beom Kwon</name><name sortKey="Lee, Yoon Hyung" sort="Lee, Yoon Hyung" uniqKey="Lee Y" first="Yoon Hyung" last="Lee">Yoon Hyung Lee</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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