Two-micrometer thulium laser resection of the prostate-tangerine technique for patients with acute urinary retention.
Identifieur interne : 000760 ( Ncbi/Curation ); précédent : 000759; suivant : 000761Two-micrometer thulium laser resection of the prostate-tangerine technique for patients with acute urinary retention.
Auteurs : Jian Zhuo [République populaire de Chine] ; Hai-Bin Wei ; Fu-Jun Zhao ; Feng Sun ; Bang-Min Han ; Xiao-Wen Sun ; Shu-Jie XiaSource :
- Lasers in medical science [ 1435-604X ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Durée du séjour, Humains, Hyperplasie de la prostate (), Lasers à solide, Maladie aigüe, Mâle, Période postopératoire, Qualité de vie, Résultat thérapeutique, Rétention d'urine (), Rétention d'urine (étiologie), Sujet âgé, Sujet âgé de 80 ans ou plus, Thérapie laser, Études prospectives.
- MESH :
- étiologie : Rétention d'urine.
- Adulte d'âge moyen, Durée du séjour, Humains, Hyperplasie de la prostate, Lasers à solide, Maladie aigüe, Mâle, Période postopératoire, Qualité de vie, Résultat thérapeutique, Rétention d'urine, Sujet âgé, Sujet âgé de 80 ans ou plus, Thérapie laser, Études prospectives.
English descriptors
- KwdEn :
- MESH :
- complications : Prostatic Hyperplasia.
- etiology : Urinary Retention.
- surgery : Urinary Retention.
- Acute Disease, Aged, Aged, 80 and over, Humans, Laser Therapy, Lasers, Solid-State, Length of Stay, Male, Middle Aged, Postoperative Period, Prospective Studies, Quality of Life, Treatment Outcome.
Abstract
Two-micrometer thulium laser resection of the prostate-tangerine technique (TmLRP-TT) has been introduced as a minimally invasive treatment for benign prostatic hyperplasia (BPH). Acute urinary retention (AUR) is a common and serious complication of BPH. The study was undertaken to assess the clinical efficacy and safety of TmLRP-TT in the treatment of patients with AUR secondary to BPH. A prospective evaluation of 52 patients undergoing TmLRP-TT from December 2011 to November 2012 was carried out. Preoperative status, surgical details, and perioperative complications were recorded. The follow-up outcome was evaluated with subjective and objective tests at 1 and 6 months. Mean age was 70.3 ± 7.8 years old. Mean prostate volume was 69.6 ± 31.6 ml, and mean residual volume with retention was 274.5 ± 150.7 ml. Mean operative time was 64.1 ± 30.4 min. Mean catheterization duration was 5.4 ± 1.1 days. The mean International Prostate Symptom Score, quality of life score, and postvoid residual urine volume decreased significantly at 6-month follow-up (21.6 ± 6.8 vs. 6.8 ± 3.2, 4.4 ± 1.2 vs. 0.9 ± 0.8, 274.5 ± 150.7 vs. 40.6 ± 22.5 ml). The mean maximum urinary flow rate was 18.7 ± 6.9 ml/s postoperative. Two (3.8 %) of the patients required blood transfusion in operation. Five (9.6 %) of the patients had transient hematuria postoperative, and two (3.8 %) of them received 3 days recatheterization due to clot retention. The early clinical results suggest that the TmLRP-TT is a promising safe, effective, and minimally invasive treatment for patients with AUR secondary to BPH. The incidence of complications was low.
DOI: 10.1007/s10103-013-1474-3
PubMed: 24189927
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sortKey="Zhao, Fu Jun" sort="Zhao, Fu Jun" uniqKey="Zhao F" first="Fu-Jun" last="Zhao">Fu-Jun Zhao</name></author><author><name sortKey="Sun, Feng" sort="Sun, Feng" uniqKey="Sun F" first="Feng" last="Sun">Feng Sun</name></author><author><name sortKey="Han, Bang Min" sort="Han, Bang Min" uniqKey="Han B" first="Bang-Min" last="Han">Bang-Min Han</name></author><author><name sortKey="Sun, Xiao Wen" sort="Sun, Xiao Wen" uniqKey="Sun X" first="Xiao-Wen" last="Sun">Xiao-Wen Sun</name></author><author><name sortKey="Xia, Shu Jie" sort="Xia, Shu Jie" uniqKey="Xia S" first="Shu-Jie" last="Xia">Shu-Jie Xia</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="doi">10.1007/s10103-013-1474-3</idno><idno type="RBID">pubmed:24189927</idno><idno type="pmid">24189927</idno><idno type="wicri:Area/PubMed/Corpus">000231</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000231</idno><idno 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Chine</country><wicri:regionArea>Department of Urology, Shanghai First People's Hospital, School of Medicine, Shanghai Jiao Tong University, No.100, Haining Road, Shanghai, 200080</wicri:regionArea><wicri:noRegion>200080</wicri:noRegion></affiliation></author><author><name sortKey="Wei, Hai Bin" sort="Wei, Hai Bin" uniqKey="Wei H" first="Hai-Bin" last="Wei">Hai-Bin Wei</name></author><author><name sortKey="Zhao, Fu Jun" sort="Zhao, Fu Jun" uniqKey="Zhao F" first="Fu-Jun" last="Zhao">Fu-Jun Zhao</name></author><author><name sortKey="Sun, Feng" sort="Sun, Feng" uniqKey="Sun F" first="Feng" last="Sun">Feng Sun</name></author><author><name sortKey="Han, Bang Min" sort="Han, Bang Min" uniqKey="Han B" first="Bang-Min" last="Han">Bang-Min Han</name></author><author><name sortKey="Sun, Xiao Wen" sort="Sun, Xiao Wen" uniqKey="Sun X" first="Xiao-Wen" last="Sun">Xiao-Wen Sun</name></author><author><name sortKey="Xia, Shu Jie" sort="Xia, Shu Jie" uniqKey="Xia S" first="Shu-Jie" last="Xia">Shu-Jie Xia</name></author></analytic><series><title level="j">Lasers in medical science</title><idno type="eISSN">1435-604X</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acute Disease</term><term>Aged</term><term>Aged, 80 and over</term><term>Humans</term><term>Laser Therapy</term><term>Lasers, Solid-State</term><term>Length of Stay</term><term>Male</term><term>Middle Aged</term><term>Postoperative Period</term><term>Prospective Studies</term><term>Prostatic Hyperplasia (complications)</term><term>Quality of Life</term><term>Treatment Outcome</term><term>Urinary Retention (etiology)</term><term>Urinary Retention (surgery)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Durée du séjour</term><term>Humains</term><term>Hyperplasie de la prostate ()</term><term>Lasers à solide</term><term>Maladie aigüe</term><term>Mâle</term><term>Période postopératoire</term><term>Qualité de vie</term><term>Résultat thérapeutique</term><term>Rétention d'urine ()</term><term>Rétention d'urine (étiologie)</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Thérapie laser</term><term>Études prospectives</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Prostatic Hyperplasia</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Urinary Retention</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Urinary Retention</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Rétention d'urine</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Acute Disease</term><term>Aged</term><term>Aged, 80 and over</term><term>Humans</term><term>Laser Therapy</term><term>Lasers, Solid-State</term><term>Length of Stay</term><term>Male</term><term>Middle Aged</term><term>Postoperative Period</term><term>Prospective Studies</term><term>Quality of Life</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Durée du séjour</term><term>Humains</term><term>Hyperplasie de la prostate</term><term>Lasers à solide</term><term>Maladie aigüe</term><term>Mâle</term><term>Période postopératoire</term><term>Qualité de vie</term><term>Résultat thérapeutique</term><term>Rétention d'urine</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Thérapie laser</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Two-micrometer thulium laser resection of the prostate-tangerine technique (TmLRP-TT) has been introduced as a minimally invasive treatment for benign prostatic hyperplasia (BPH). Acute urinary retention (AUR) is a common and serious complication of BPH. The study was undertaken to assess the clinical efficacy and safety of TmLRP-TT in the treatment of patients with AUR secondary to BPH. A prospective evaluation of 52 patients undergoing TmLRP-TT from December 2011 to November 2012 was carried out. Preoperative status, surgical details, and perioperative complications were recorded. The follow-up outcome was evaluated with subjective and objective tests at 1 and 6 months. Mean age was 70.3 ± 7.8 years old. Mean prostate volume was 69.6 ± 31.6 ml, and mean residual volume with retention was 274.5 ± 150.7 ml. Mean operative time was 64.1 ± 30.4 min. Mean catheterization duration was 5.4 ± 1.1 days. The mean International Prostate Symptom Score, quality of life score, and postvoid residual urine volume decreased significantly at 6-month follow-up (21.6 ± 6.8 vs. 6.8 ± 3.2, 4.4 ± 1.2 vs. 0.9 ± 0.8, 274.5 ± 150.7 vs. 40.6 ± 22.5 ml). The mean maximum urinary flow rate was 18.7 ± 6.9 ml/s postoperative. Two (3.8 %) of the patients required blood transfusion in operation. Five (9.6 %) of the patients had transient hematuria postoperative, and two (3.8 %) of them received 3 days recatheterization due to clot retention. The early clinical results suggest that the TmLRP-TT is a promising safe, effective, and minimally invasive treatment for patients with AUR secondary to BPH. The incidence of complications was low.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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