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Intermediate-term efficacy of Tm:YAG laser prostate vaporesection for bladder outlet obstruction: initial experience from a UK teaching hospital.

Identifieur interne : 000524 ( Ncbi/Merge ); précédent : 000523; suivant : 000525

Intermediate-term efficacy of Tm:YAG laser prostate vaporesection for bladder outlet obstruction: initial experience from a UK teaching hospital.

Auteurs : Raj P. Pal [Royaume-Uni] ; Masood A. Khan

Source :

RBID : pubmed:22133639

Descripteurs français

English descriptors

Abstract

To assess the safety and clinical efficacy of Tm:YAG laser vaporesection of the prostate (ThuVaRP) at intermediate-term follow-up.

DOI: 10.1159/000330901
PubMed: 22133639

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pubmed:22133639

Le document en format XML

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<title xml:lang="en">Intermediate-term efficacy of Tm:YAG laser prostate vaporesection for bladder outlet obstruction: initial experience from a UK teaching hospital.</title>
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<nlm:affiliation>Department of Urology, University Hospitals of Leicester, Clinical Sciences Unit, Leicester General Hospital, Leicester, UK. rppal @ doctors.org.uk</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Urology, University Hospitals of Leicester, Clinical Sciences Unit, Leicester General Hospital, Leicester</wicri:regionArea>
<wicri:noRegion>Leicester</wicri:noRegion>
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<name sortKey="Khan, Masood A" sort="Khan, Masood A" uniqKey="Khan M" first="Masood A" last="Khan">Masood A. Khan</name>
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<title xml:lang="en">Intermediate-term efficacy of Tm:YAG laser prostate vaporesection for bladder outlet obstruction: initial experience from a UK teaching hospital.</title>
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<name sortKey="Pal, Raj P" sort="Pal, Raj P" uniqKey="Pal R" first="Raj P" last="Pal">Raj P. Pal</name>
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<nlm:affiliation>Department of Urology, University Hospitals of Leicester, Clinical Sciences Unit, Leicester General Hospital, Leicester, UK. rppal @ doctors.org.uk</nlm:affiliation>
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<term>Adenocarcinoma (surgery)</term>
<term>England</term>
<term>Equipment Design</term>
<term>Hospitals, Teaching</term>
<term>Humans</term>
<term>Laser Therapy (adverse effects)</term>
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<term>Recovery of Function</term>
<term>Thulium</term>
<term>Time Factors</term>
<term>Treatment Outcome</term>
<term>Urinary Bladder Neck Obstruction (etiology)</term>
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<term>Adénocarcinome ()</term>
<term>Adénocarcinome (anatomopathologie)</term>
<term>Angleterre</term>
<term>Complications postopératoires (étiologie)</term>
<term>Conception d'appareillage</term>
<term>Facteurs temps</term>
<term>Humains</term>
<term>Hyperplasie de la prostate ()</term>
<term>Hyperplasie de la prostate (anatomopathologie)</term>
<term>Hôpitaux d'enseignement</term>
<term>Lasers à solide</term>
<term>Miction</term>
<term>Mâle</term>
<term>Obstruction du col de la vessie ()</term>
<term>Obstruction du col de la vessie (physiopathologie)</term>
<term>Obstruction du col de la vessie (étiologie)</term>
<term>Prostate ()</term>
<term>Prostate (anatomopathologie)</term>
<term>Récupération fonctionnelle</term>
<term>Résultat thérapeutique</term>
<term>Thulium</term>
<term>Thérapie laser (effets indésirables)</term>
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<term>Adénocarcinome</term>
<term>Hyperplasie de la prostate</term>
<term>Prostate</term>
<term>Tumeurs de la prostate</term>
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<term>Adenocarcinoma</term>
<term>Prostatic Hyperplasia</term>
<term>Prostatic Neoplasms</term>
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<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr">
<term>Thérapie laser</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Postoperative Complications</term>
<term>Urinary Bladder Neck Obstruction</term>
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<term>Laser Therapy</term>
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<term>Adenocarcinoma</term>
<term>Prostate</term>
<term>Prostatic Hyperplasia</term>
<term>Prostatic Neoplasms</term>
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<term>Obstruction du col de la vessie</term>
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<term>Urinary Bladder Neck Obstruction</term>
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<term>Adenocarcinoma</term>
<term>Prostate</term>
<term>Prostatic Hyperplasia</term>
<term>Prostatic Neoplasms</term>
<term>Urinary Bladder Neck Obstruction</term>
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<term>Obstruction du col de la vessie</term>
<term>Thérapie laser</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Equipment Design</term>
<term>Hospitals, Teaching</term>
<term>Humans</term>
<term>Lasers, Solid-State</term>
<term>Male</term>
<term>Recovery of Function</term>
<term>Time Factors</term>
<term>Treatment Outcome</term>
<term>Urination</term>
<term>Urodynamics</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adénocarcinome</term>
<term>Angleterre</term>
<term>Conception d'appareillage</term>
<term>Facteurs temps</term>
<term>Humains</term>
<term>Hyperplasie de la prostate</term>
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<term>Lasers à solide</term>
<term>Miction</term>
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<term>Prostate</term>
<term>Récupération fonctionnelle</term>
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<front>
<div type="abstract" xml:lang="en">To assess the safety and clinical efficacy of Tm:YAG laser vaporesection of the prostate (ThuVaRP) at intermediate-term follow-up.</div>
</front>
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<DateCreated>
<Year>2012</Year>
<Month>01</Month>
<Day>30</Day>
</DateCreated>
<DateCompleted>
<Year>2012</Year>
<Month>06</Month>
<Day>06</Day>
</DateCompleted>
<DateRevised>
<Year>2013</Year>
<Month>11</Month>
<Day>21</Day>
</DateRevised>
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<ISSN IssnType="Electronic">1423-0399</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>88</Volume>
<Issue>1</Issue>
<PubDate>
<Year>2012</Year>
</PubDate>
</JournalIssue>
<Title>Urologia internationalis</Title>
<ISOAbbreviation>Urol. Int.</ISOAbbreviation>
</Journal>
<ArticleTitle>Intermediate-term efficacy of Tm:YAG laser prostate vaporesection for bladder outlet obstruction: initial experience from a UK teaching hospital.</ArticleTitle>
<Pagination>
<MedlinePgn>39-42</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1159/000330901</ELocationID>
<Abstract>
<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To assess the safety and clinical efficacy of Tm:YAG laser vaporesection of the prostate (ThuVaRP) at intermediate-term follow-up.</AbstractText>
<AbstractText Label="PATIENTS AND METHODS" NlmCategory="METHODS">We identified the first 60 consecutive patients who underwent ThuVaRP at our institute. Operative outcomes assessed were resection time, resection weight, drop in haemoglobin, transfusion rate, catheter time and complication rate. The International Prostate Symptom Score (IPSS) was documented at a mean follow-up period of 19 months postoperatively.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">45/60 patients underwent treatment due to lower urinary tract symptoms secondary to benign prostatic obstruction, 11/60 patients had a long-term catheter in situ for refractory urinary retention secondary to benign prostatic obstruction, and 4/60 patients had bladder outflow obstruction secondary to adenocarcinoma of the prostate. 1/60 patients developed urosepsis, 1/60 patients developed a urinary tract infection and 1/60 patients required 3-way catheterization and irrigation due to haematuria. No patients required a blood transfusion. The mean IPSS at a mean follow-up interval of 19 months (range 15-28 months) was 5.1 (range 1-23). Postoperative maximum flow rate improved from 7.9 to 17.1 ml/s, and post-micturition residual volume decreased from 254 to 86 ml.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">ThuVaRP is safe and appears to have durable efficacy at intermediate follow-up.</AbstractText>
<CopyrightInformation>Copyright © 2011 S. Karger AG, Basel.</CopyrightInformation>
</Abstract>
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<LastName>Pal</LastName>
<ForeName>Raj P</ForeName>
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<Affiliation>Department of Urology, University Hospitals of Leicester, Clinical Sciences Unit, Leicester General Hospital, Leicester, UK. rppal @ doctors.org.uk</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Khan</LastName>
<ForeName>Masood A</ForeName>
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</Author>
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<Year>2011</Year>
<Month>11</Month>
<Day>29</Day>
</ArticleDate>
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<Country>Switzerland</Country>
<MedlineTA>Urol Int</MedlineTA>
<NlmUniqueID>0417373</NlmUniqueID>
<ISSNLinking>0042-1138</ISSNLinking>
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<ChemicalList>
<Chemical>
<RegistryNumber>8RKC5ATI4P</RegistryNumber>
<NameOfSubstance UI="D013932">Thulium</NameOfSubstance>
</Chemical>
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<DescriptorName MajorTopicYN="N" UI="D000230">Adenocarcinoma</DescriptorName>
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<DescriptorName MajorTopicYN="N" UI="D016896">Treatment Outcome</DescriptorName>
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