AB13. Long-term results of thulium laser resection of the prostate: a prospective study at multiple centers
Identifieur interne : 000049 ( Pmc/Corpus ); précédent : 000048; suivant : 000050AB13. Long-term results of thulium laser resection of the prostate: a prospective study at multiple centers
Auteurs : Shu-Jie XiaSource :
- Translational Andrology and Urology [ 2223-4691 ] ; 2014.
Abstract
To evaluate the long-term durability and complication rates after thulium laser resection of prostate through a prospective multiple centers study.
From November 2004 to December 2011, we prospectively studied 2216 patients with symptomatic begin prostatic hyperplasia (BPH) treated with thulium laser resection of the prostate at four medical centers. Patients were assessed on International Prostate Symptom Score (IPSS), quality of life (QoL), maximum urinary flow rate (Qmax) and postvoid residual urine (PVR). Perioperative complications were classified according to the modified Clavien classification system (CCS).
Mean follow-up was 5 years (range: 1 to 8 years). Postoperatively, IPSS, QoL, Qmax and PVR showed a significant improvement from 3 month after surgery and remained significantly improved during the entire follow-up period (P<0.01). Minor complications occurred in 526 (23.7%) of the 2216 patients (Clavien 1: 21.5%; Clavien 2: 2.3%). Major complications requiring re-interventions occurred in 48 (2.2%) of the 2216 patients (Clavien 3: 2.2%). No Clavien 4 or Clavien 5 complication had occurred. Urethral stricture and bladder neck contracture occurred in 2.6% [58] and 1.6% [35] patients, respectively. Re-operation as a result of BPH recurrence was required in 1.2% [27] patients.
Thulium laser resection of the prostate is a safe and effective procedure with excellent durability in the treatment of symptomatic BPH.
Url:
DOI: 10.3978/j.issn.2223-4683.2014.s013
PubMed: NONE
PubMed Central: 4708433
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PMC:4708433Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">AB13. Long-term results of thulium laser resection of the prostate: a prospective study at multiple centers</title><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">PMC</idno><idno type="pmc">4708433</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4708433</idno><idno type="RBID">PMC:4708433</idno><idno type="doi">10.3978/j.issn.2223-4683.2014.s013</idno><idno type="pmid">NONE</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">000049</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000049</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">AB13. Long-term results of thulium laser resection of the prostate: a prospective study at multiple centers</title><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">Translational Andrology and Urology</title><idno type="eISSN">2223-4691</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>To evaluate the long-term durability and complication rates after thulium laser resection of prostate through a prospective multiple centers study.</p></sec><sec><title>Materials and Methods</title><p>From November 2004 to December 2011, we prospectively studied 2216 patients with symptomatic begin prostatic hyperplasia (BPH) treated with thulium laser resection of the prostate at four medical centers. Patients were assessed on International Prostate Symptom Score (IPSS), quality of life (QoL), maximum urinary flow rate (Q<sub>max</sub>) and postvoid residual urine (PVR). Perioperative complications were classified according to the modified Clavien classification system (CCS).</p></sec><sec><title>Results</title><p>Mean follow-up was 5 years (range: 1 to 8 years). Postoperatively, IPSS, QoL, Q<sub>max</sub> and PVR showed a significant improvement from 3 month after surgery and remained significantly improved during the entire follow-up period (P<0.01). Minor complications occurred in 526 (23.7%) of the 2216 patients (Clavien 1: 21.5%; Clavien 2: 2.3%). Major complications requiring re-interventions occurred in 48 (2.2%) of the 2216 patients (Clavien 3: 2.2%). No Clavien 4 or Clavien 5 complication had occurred. Urethral stricture and bladder neck contracture occurred in 2.6% [58] and 1.6% [35] patients, respectively. Re-operation as a result of BPH recurrence was required in 1.2% [27] patients.</p></sec><sec><title>Conclusions</title><p>Thulium laser resection of the prostate is a safe and effective procedure with excellent durability in the treatment of symptomatic BPH.</p></sec></div></front></TEI><pmc article-type="abstract"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Transl Androl Urol</journal-id><journal-id journal-id-type="iso-abbrev">Transl Androl Urol</journal-id><journal-id journal-id-type="publisher-id">TAU</journal-id><journal-title-group><journal-title>Translational Andrology and Urology</journal-title></journal-title-group><issn pub-type="epub">2223-4691</issn><publisher><publisher-name>AME Publishing Company</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmc">4708433</article-id><article-id pub-id-type="publisher-id">tau-03-S1-AB13</article-id><article-id pub-id-type="doi">10.3978/j.issn.2223-4683.2014.s013</article-id><article-categories><subj-group subj-group-type="heading"><subject>Plenary Session</subject></subj-group></article-categories><title-group><article-title>AB13. Long-term results of thulium laser resection of the prostate: a prospective study at multiple centers</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Xia</surname><given-names>Shu-Jie</given-names></name></contrib><aff id="aff1">Shanghai First People’s Hospital, Shanghai 201620,<country>China</country></aff></contrib-group><pub-date pub-type="epub-ppub"><month>9</month><year>2014</year></pub-date><pmc-comment>Fake ppub date generated by PMC from publisher
pub-date/@pub-type='epub-ppub' </pmc-comment>
<pub-date pub-type="ppub"><month>9</month><year>2014</year></pub-date><volume>3</volume><issue>Suppl 1</issue><elocation-id>AB13</elocation-id><permissions><copyright-statement>2014 Translational Andrology and Urology. All rights reserved.</copyright-statement><copyright-year>2014</copyright-year><copyright-holder>Translational Andrology and Urology.</copyright-holder></permissions><abstract><sec><title>Purpose</title><p>To evaluate the long-term durability and complication rates after thulium laser resection of prostate through a prospective multiple centers study.</p></sec><sec><title>Materials and Methods</title><p>From November 2004 to December 2011, we prospectively studied 2216 patients with symptomatic begin prostatic hyperplasia (BPH) treated with thulium laser resection of the prostate at four medical centers. Patients were assessed on International Prostate Symptom Score (IPSS), quality of life (QoL), maximum urinary flow rate (Q<sub>max</sub>) and postvoid residual urine (PVR). Perioperative complications were classified according to the modified Clavien classification system (CCS).</p></sec><sec><title>Results</title><p>Mean follow-up was 5 years (range: 1 to 8 years). Postoperatively, IPSS, QoL, Q<sub>max</sub> and PVR showed a significant improvement from 3 month after surgery and remained significantly improved during the entire follow-up period (P<0.01). Minor complications occurred in 526 (23.7%) of the 2216 patients (Clavien 1: 21.5%; Clavien 2: 2.3%). Major complications requiring re-interventions occurred in 48 (2.2%) of the 2216 patients (Clavien 3: 2.2%). No Clavien 4 or Clavien 5 complication had occurred. Urethral stricture and bladder neck contracture occurred in 2.6% [58] and 1.6% [35] patients, respectively. Re-operation as a result of BPH recurrence was required in 1.2% [27] patients.</p></sec><sec><title>Conclusions</title><p>Thulium laser resection of the prostate is a safe and effective procedure with excellent durability in the treatment of symptomatic BPH.</p></sec></abstract><kwd-group kwd-group-type="author"><title>Keywords: </title><kwd>Thulium laser resection of the prostatectomy</kwd><kwd>benign prostatic hyperplasia</kwd><kwd>laser surgery</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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