A prospective, randomized comparison of a 1940 nm and a 2013 nm thulium: yttrium–aluminum–garnet laser device for Thulium VapoEnucleation of the prostate (ThuVEP): First results
Identifieur interne : 000948 ( Ncbi/Curation ); précédent : 000947; suivant : 000949A prospective, randomized comparison of a 1940 nm and a 2013 nm thulium: yttrium–aluminum–garnet laser device for Thulium VapoEnucleation of the prostate (ThuVEP): First results
Auteurs : Christian Tiburtius [Allemagne] ; Andreas J. Gross [Allemagne] ; Christopher Netsch [Allemagne]Source :
- Indian Journal of Urology : IJU : Journal of the Urological Society of India [ 0970-1591 ] ; 2015.
Abstract
We report the early postoperative results of the first prospective, randomized comparison of two commercially available thulium lasers with different wavelengths for the treatment of benign prostatic obstruction (BPO).
From January to June 2013, 80 consecutive patients were randomized for Thulium VapoEnucleation of the prostate (ThuVEP) with a 2013 nm (RevoLix®) (
Median operation time, resected tissue, percentage of resected tissue, catheter time, overall operation efficiency and Hb loss differed nonsignificantly between both devices (
The 1940 nm and the 2013 nm thulium lasers are both safe and effective for the treatment of BPO with ThuVEP. Both lasers give equivalent and satisfactory immediate micturition improvement with low perioperative morbidity.
Url:
DOI: 10.4103/0970-1591.148308
PubMed: 25624576
PubMed Central: 4300572
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PMC:4300572Le document en format XML
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">A prospective, randomized comparison of a 1940 nm and a 2013 nm thulium: yttrium–aluminum–garnet laser device for Thulium VapoEnucleation of the prostate (ThuVEP): First results</title>
<author><name sortKey="Tiburtius, Christian" sort="Tiburtius, Christian" uniqKey="Tiburtius C" first="Christian" last="Tiburtius">Christian Tiburtius</name>
<affiliation wicri:level="1"><nlm:aff id="aff1">Department of Urology, Asklepios Hospital Barmbek, Rübenkamp 220, 22291 Hamburg, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Urology, Asklepios Hospital Barmbek, Rübenkamp 220, 22291 Hamburg</wicri:regionArea>
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<author><name sortKey="Gross, Andreas J" sort="Gross, Andreas J" uniqKey="Gross A" first="Andreas J." last="Gross">Andreas J. Gross</name>
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<author><name sortKey="Netsch, Christopher" sort="Netsch, Christopher" uniqKey="Netsch C" first="Christopher" last="Netsch">Christopher Netsch</name>
<affiliation wicri:level="1"><nlm:aff id="aff1">Department of Urology, Asklepios Hospital Barmbek, Rübenkamp 220, 22291 Hamburg, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
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<series><title level="j">Indian Journal of Urology : IJU : Journal of the Urological Society of India</title>
<idno type="ISSN">0970-1591</idno>
<idno type="eISSN">1998-3824</idno>
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<front><div type="abstract" xml:lang="en"><sec id="st1"><title>Introduction:</title>
<p>We report the early postoperative results of the first prospective, randomized comparison of two commercially available thulium lasers with different wavelengths for the treatment of benign prostatic obstruction (BPO).</p>
</sec>
<sec id="st2"><title>Materials and Methods:</title>
<p>From January to June 2013, 80 consecutive patients were randomized for Thulium VapoEnucleation of the prostate (ThuVEP) with a 2013 nm (RevoLix<sup>®</sup>
) (<italic>n</italic>
= 39) or a 1940 nm (Vela<sup>®</sup>
XL) (<italic>n</italic>
= 41) thulium laser. Preoperative status, surgical details and the immediate outcome were recorded for each patient. The perioperative complications were assessed and classified according to the modified Clavien classification system.</p>
</sec>
<sec id="st3"><title>Results:</title>
<p>Median operation time, resected tissue, percentage of resected tissue, catheter time, overall operation efficiency and Hb loss differed nonsignificantly between both devices (<italic>P</italic>
> 0.05). At discharge, the median maximum urinary flow rate and postvoiding residual (PVR) urine improved significantly in both groups (<italic>P</italic>
< 0.001). The PVR was lower in the 1940 nm ThuVEP group (<italic>P</italic>
≤ 0.034). Perioperative complications occurred in 18 (22.5%) patients (Clavien 1: 12.5%; Clavien 2: 5%, Clavien 3b: 2.5%, Clavien 4a: 2.5%), with no differences between the groups (<italic>P</italic>
= 0.5).</p>
</sec>
<sec id="st4"><title>Conclusions:</title>
<p>The 1940 nm and the 2013 nm thulium lasers are both safe and effective for the treatment of BPO with ThuVEP. Both lasers give equivalent and satisfactory immediate micturition improvement with low perioperative morbidity.</p>
</sec>
</div>
</front>
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