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Comparison of 120-200 W 2 μm Thulium: Yttrium-Aluminum-Garnet Vapoenucleation of the Prostate

Identifieur interne : 000164 ( Pascal/Corpus ); précédent : 000163; suivant : 000165

Comparison of 120-200 W 2 μm Thulium: Yttrium-Aluminum-Garnet Vapoenucleation of the Prostate

Auteurs : Christopher Netsch ; Thorsten Bach ; Laura Pohlmann ; Thomas Herrmann ; Andreas J. Gross

Source :

RBID : Pascal:12-0145651

Descripteurs français

English descriptors

Abstract

Purpose: To evaluate efficacy and safety of 200 W 2 μm thulium:yttrium-aluminum-garnet vapoenucleation of the prostate (ThuVEP) for patients with benign prostatic obstruction (BPO). Patients and Methods: Twenty-eight consecutive patients with symptomatic BPO were treated with 200 W ThuVEP. Patients were matched for age and preoperative prostate volume with 28 patients from our 120 W ThuVEP database. Patient data and postoperative outcome at 12-month follow-up were compared. Results: Mean prostate volume (65.39 vs 68.62 cc) and resected weight (40.72 vs 53.18 g) differed not significantly between 200 and 120 W ThuVEP. The percentage of resected tissue was lower with 200 W compared with 120 W (58.48 vs 72.93%, P=0.047) because of the higher rate of ablated tissue. There were no differences in mean operative (69.21 vs 78.67 min), laser (45.43 vs 48.58 min), morcellation (16.52 vs 20.48 min), and catheter (2.2 vs 2.1 d) time between the devices. Three patients needed immediate re-treatment (hemorrhage necessitating coagulation 1=200 W, secondary apical resection 2 120/200 W). One (1.79%) patient (120 W) needed a blood transfusion postoperatively. Fifty-one (91%) patients completed 12-month follow-up. Quality of life, International Prostate Symptom Score, peak urinary flow rate, postvoid residual urine, prostate-specific antigen level, and prostate volume improved significantly (P≤0.019) and were not different between the devices. At follow-up, two (3.57%) patients (120/200 W) had a bladder neck contracture. Conclusions: ThuVEP is a safe and efficacious procedure for patients with symptomatic BPO. 120 and 200 W ThuVEP had an equivalent clinical outcome at 12-month follow-up.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0892-7790
A03   1    @0 J. endourol.
A05       @2 26
A06       @2 3
A08 01  1  ENG  @1 Comparison of 120-200 W 2 μm Thulium: Yttrium-Aluminum-Garnet Vapoenucleation of the Prostate
A11 01  1    @1 NETSCH (Christopher)
A11 02  1    @1 BACH (Thorsten)
A11 03  1    @1 POHLMANN (Laura)
A11 04  1    @1 HERRMANN (Thomas)
A11 05  1    @1 GROSS (Andreas J.)
A14 01      @1 Department of Urology, Asklepios Hospital Barmbek @2 Hamburg @3 DEU @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 5 aut.
A14 02      @1 MHH Medical School of Hannover, Department of Urology @2 Hannover @3 DEU @Z 4 aut.
A20       @1 224-229
A21       @1 2012
A23 01      @0 ENG
A43 01      @1 INIST @2 21584 @5 354000509208010040
A44       @0 0000 @1 © 2012 INIST-CNRS. All rights reserved.
A45       @0 26 ref.
A47 01  1    @0 12-0145651
A60       @1 P
A61       @0 A
A64 01  1    @0 Journal of endourology
A66 01      @0 USA
C01 01    ENG  @0 Purpose: To evaluate efficacy and safety of 200 W 2 μm thulium:yttrium-aluminum-garnet vapoenucleation of the prostate (ThuVEP) for patients with benign prostatic obstruction (BPO). Patients and Methods: Twenty-eight consecutive patients with symptomatic BPO were treated with 200 W ThuVEP. Patients were matched for age and preoperative prostate volume with 28 patients from our 120 W ThuVEP database. Patient data and postoperative outcome at 12-month follow-up were compared. Results: Mean prostate volume (65.39 vs 68.62 cc) and resected weight (40.72 vs 53.18 g) differed not significantly between 200 and 120 W ThuVEP. The percentage of resected tissue was lower with 200 W compared with 120 W (58.48 vs 72.93%, P=0.047) because of the higher rate of ablated tissue. There were no differences in mean operative (69.21 vs 78.67 min), laser (45.43 vs 48.58 min), morcellation (16.52 vs 20.48 min), and catheter (2.2 vs 2.1 d) time between the devices. Three patients needed immediate re-treatment (hemorrhage necessitating coagulation 1=200 W, secondary apical resection 2 120/200 W). One (1.79%) patient (120 W) needed a blood transfusion postoperatively. Fifty-one (91%) patients completed 12-month follow-up. Quality of life, International Prostate Symptom Score, peak urinary flow rate, postvoid residual urine, prostate-specific antigen level, and prostate volume improved significantly (P≤0.019) and were not different between the devices. At follow-up, two (3.57%) patients (120/200 W) had a bladder neck contracture. Conclusions: ThuVEP is a safe and efficacious procedure for patients with symptomatic BPO. 120 and 200 W ThuVEP had an equivalent clinical outcome at 12-month follow-up.
C02 01  X    @0 002B14
C03 01  X  FRE  @0 Etude comparative @5 02
C03 01  X  ENG  @0 Comparative study @5 02
C03 01  X  SPA  @0 Estudio comparativo @5 02
C03 02  X  FRE  @0 Thulium @2 NC @5 03
C03 02  X  ENG  @0 Thulium @2 NC @5 03
C03 02  X  SPA  @0 Tulio @2 NC @5 03
C03 03  X  FRE  @0 Yttrium @2 NC @5 05
C03 03  X  ENG  @0 Yttrium @2 NC @5 05
C03 03  X  SPA  @0 Ytrio @2 NC @5 05
C03 04  X  FRE  @0 Prostate @5 06
C03 04  X  ENG  @0 Prostate @5 06
C03 04  X  SPA  @0 Prostata @5 06
C03 05  X  FRE  @0 Néphrologie @5 08
C03 05  X  ENG  @0 Nephrology @5 08
C03 05  X  SPA  @0 Nefrología @5 08
C03 06  X  FRE  @0 Urologie @5 09
C03 06  X  ENG  @0 Urology @5 09
C03 06  X  SPA  @0 Urología @5 09
C07 01  X  FRE  @0 Appareil urogénital @5 37
C07 01  X  ENG  @0 Urogenital system @5 37
C07 01  X  SPA  @0 Aparato urogenital @5 37
N21       @1 114
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 12-0145651 INIST
ET : Comparison of 120-200 W 2 μm Thulium: Yttrium-Aluminum-Garnet Vapoenucleation of the Prostate
AU : NETSCH (Christopher); BACH (Thorsten); POHLMANN (Laura); HERRMANN (Thomas); GROSS (Andreas J.)
AF : Department of Urology, Asklepios Hospital Barmbek/Hamburg/Allemagne (1 aut., 2 aut., 3 aut., 5 aut.); MHH Medical School of Hannover, Department of Urology/Hannover/Allemagne (4 aut.)
DT : Publication en série; Niveau analytique
SO : Journal of endourology; ISSN 0892-7790; Etats-Unis; Da. 2012; Vol. 26; No. 3; Pp. 224-229; Bibl. 26 ref.
LA : Anglais
EA : Purpose: To evaluate efficacy and safety of 200 W 2 μm thulium:yttrium-aluminum-garnet vapoenucleation of the prostate (ThuVEP) for patients with benign prostatic obstruction (BPO). Patients and Methods: Twenty-eight consecutive patients with symptomatic BPO were treated with 200 W ThuVEP. Patients were matched for age and preoperative prostate volume with 28 patients from our 120 W ThuVEP database. Patient data and postoperative outcome at 12-month follow-up were compared. Results: Mean prostate volume (65.39 vs 68.62 cc) and resected weight (40.72 vs 53.18 g) differed not significantly between 200 and 120 W ThuVEP. The percentage of resected tissue was lower with 200 W compared with 120 W (58.48 vs 72.93%, P=0.047) because of the higher rate of ablated tissue. There were no differences in mean operative (69.21 vs 78.67 min), laser (45.43 vs 48.58 min), morcellation (16.52 vs 20.48 min), and catheter (2.2 vs 2.1 d) time between the devices. Three patients needed immediate re-treatment (hemorrhage necessitating coagulation 1=200 W, secondary apical resection 2 120/200 W). One (1.79%) patient (120 W) needed a blood transfusion postoperatively. Fifty-one (91%) patients completed 12-month follow-up. Quality of life, International Prostate Symptom Score, peak urinary flow rate, postvoid residual urine, prostate-specific antigen level, and prostate volume improved significantly (P≤0.019) and were not different between the devices. At follow-up, two (3.57%) patients (120/200 W) had a bladder neck contracture. Conclusions: ThuVEP is a safe and efficacious procedure for patients with symptomatic BPO. 120 and 200 W ThuVEP had an equivalent clinical outcome at 12-month follow-up.
CC : 002B14
FD : Etude comparative; Thulium; Yttrium; Prostate; Néphrologie; Urologie
FG : Appareil urogénital
ED : Comparative study; Thulium; Yttrium; Prostate; Nephrology; Urology
EG : Urogenital system
SD : Estudio comparativo; Tulio; Ytrio; Prostata; Nefrología; Urología
LO : INIST-21584.354000509208010040
ID : 12-0145651

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Pascal:12-0145651

Le document en format XML

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<term>Etude comparative</term>
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<div type="abstract" xml:lang="en">Purpose: To evaluate efficacy and safety of 200 W 2 μm thulium:yttrium-aluminum-garnet vapoenucleation of the prostate (ThuVEP) for patients with benign prostatic obstruction (BPO). Patients and Methods: Twenty-eight consecutive patients with symptomatic BPO were treated with 200 W ThuVEP. Patients were matched for age and preoperative prostate volume with 28 patients from our 120 W ThuVEP database. Patient data and postoperative outcome at 12-month follow-up were compared. Results: Mean prostate volume (65.39 vs 68.62 cc) and resected weight (40.72 vs 53.18 g) differed not significantly between 200 and 120 W ThuVEP. The percentage of resected tissue was lower with 200 W compared with 120 W (58.48 vs 72.93%, P=0.047) because of the higher rate of ablated tissue. There were no differences in mean operative (69.21 vs 78.67 min), laser (45.43 vs 48.58 min), morcellation (16.52 vs 20.48 min), and catheter (2.2 vs 2.1 d) time between the devices. Three patients needed immediate re-treatment (hemorrhage necessitating coagulation 1=200 W, secondary apical resection 2 120/200 W). One (1.79%) patient (120 W) needed a blood transfusion postoperatively. Fifty-one (91%) patients completed 12-month follow-up. Quality of life, International Prostate Symptom Score, peak urinary flow rate, postvoid residual urine, prostate-specific antigen level, and prostate volume improved significantly (P≤0.019) and were not different between the devices. At follow-up, two (3.57%) patients (120/200 W) had a bladder neck contracture. Conclusions: ThuVEP is a safe and efficacious procedure for patients with symptomatic BPO. 120 and 200 W ThuVEP had an equivalent clinical outcome at 12-month follow-up.</div>
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<s0>Purpose: To evaluate efficacy and safety of 200 W 2 μm thulium:yttrium-aluminum-garnet vapoenucleation of the prostate (ThuVEP) for patients with benign prostatic obstruction (BPO). Patients and Methods: Twenty-eight consecutive patients with symptomatic BPO were treated with 200 W ThuVEP. Patients were matched for age and preoperative prostate volume with 28 patients from our 120 W ThuVEP database. Patient data and postoperative outcome at 12-month follow-up were compared. Results: Mean prostate volume (65.39 vs 68.62 cc) and resected weight (40.72 vs 53.18 g) differed not significantly between 200 and 120 W ThuVEP. The percentage of resected tissue was lower with 200 W compared with 120 W (58.48 vs 72.93%, P=0.047) because of the higher rate of ablated tissue. There were no differences in mean operative (69.21 vs 78.67 min), laser (45.43 vs 48.58 min), morcellation (16.52 vs 20.48 min), and catheter (2.2 vs 2.1 d) time between the devices. Three patients needed immediate re-treatment (hemorrhage necessitating coagulation 1=200 W, secondary apical resection 2 120/200 W). One (1.79%) patient (120 W) needed a blood transfusion postoperatively. Fifty-one (91%) patients completed 12-month follow-up. Quality of life, International Prostate Symptom Score, peak urinary flow rate, postvoid residual urine, prostate-specific antigen level, and prostate volume improved significantly (P≤0.019) and were not different between the devices. At follow-up, two (3.57%) patients (120/200 W) had a bladder neck contracture. Conclusions: ThuVEP is a safe and efficacious procedure for patients with symptomatic BPO. 120 and 200 W ThuVEP had an equivalent clinical outcome at 12-month follow-up.</s0>
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<NO>PASCAL 12-0145651 INIST</NO>
<ET>Comparison of 120-200 W 2 μm Thulium: Yttrium-Aluminum-Garnet Vapoenucleation of the Prostate</ET>
<AU>NETSCH (Christopher); BACH (Thorsten); POHLMANN (Laura); HERRMANN (Thomas); GROSS (Andreas J.)</AU>
<AF>Department of Urology, Asklepios Hospital Barmbek/Hamburg/Allemagne (1 aut., 2 aut., 3 aut., 5 aut.); MHH Medical School of Hannover, Department of Urology/Hannover/Allemagne (4 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Journal of endourology; ISSN 0892-7790; Etats-Unis; Da. 2012; Vol. 26; No. 3; Pp. 224-229; Bibl. 26 ref.</SO>
<LA>Anglais</LA>
<EA>Purpose: To evaluate efficacy and safety of 200 W 2 μm thulium:yttrium-aluminum-garnet vapoenucleation of the prostate (ThuVEP) for patients with benign prostatic obstruction (BPO). Patients and Methods: Twenty-eight consecutive patients with symptomatic BPO were treated with 200 W ThuVEP. Patients were matched for age and preoperative prostate volume with 28 patients from our 120 W ThuVEP database. Patient data and postoperative outcome at 12-month follow-up were compared. Results: Mean prostate volume (65.39 vs 68.62 cc) and resected weight (40.72 vs 53.18 g) differed not significantly between 200 and 120 W ThuVEP. The percentage of resected tissue was lower with 200 W compared with 120 W (58.48 vs 72.93%, P=0.047) because of the higher rate of ablated tissue. There were no differences in mean operative (69.21 vs 78.67 min), laser (45.43 vs 48.58 min), morcellation (16.52 vs 20.48 min), and catheter (2.2 vs 2.1 d) time between the devices. Three patients needed immediate re-treatment (hemorrhage necessitating coagulation 1=200 W, secondary apical resection 2 120/200 W). One (1.79%) patient (120 W) needed a blood transfusion postoperatively. Fifty-one (91%) patients completed 12-month follow-up. Quality of life, International Prostate Symptom Score, peak urinary flow rate, postvoid residual urine, prostate-specific antigen level, and prostate volume improved significantly (P≤0.019) and were not different between the devices. At follow-up, two (3.57%) patients (120/200 W) had a bladder neck contracture. Conclusions: ThuVEP is a safe and efficacious procedure for patients with symptomatic BPO. 120 and 200 W ThuVEP had an equivalent clinical outcome at 12-month follow-up.</EA>
<CC>002B14</CC>
<FD>Etude comparative; Thulium; Yttrium; Prostate; Néphrologie; Urologie</FD>
<FG>Appareil urogénital</FG>
<ED>Comparative study; Thulium; Yttrium; Prostate; Nephrology; Urology</ED>
<EG>Urogenital system</EG>
<SD>Estudio comparativo; Tulio; Ytrio; Prostata; Nefrología; Urología</SD>
<LO>INIST-21584.354000509208010040</LO>
<ID>12-0145651</ID>
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