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An Analytical Comparison of Short-term Effectiveness and Safety Between Thulium:YAG Laser Vaporesection of the Prostate and Bipolar Transurethral Resection of the Prostate in Patients With Benign Prostatic Hyperplasia.

Identifieur interne : 000211 ( PubMed/Checkpoint ); précédent : 000210; suivant : 000212

An Analytical Comparison of Short-term Effectiveness and Safety Between Thulium:YAG Laser Vaporesection of the Prostate and Bipolar Transurethral Resection of the Prostate in Patients With Benign Prostatic Hyperplasia.

Auteurs : Joon Woo Kim [Corée du Sud] ; Yeon Joo Kim [Corée du Sud] ; Yoon Hyung Lee [Corée du Sud] ; Joon Beom Kwon [Corée du Sud] ; Sung Ryong Cho [Corée du Sud] ; Jae Soo Kim [Corée du Sud]

Source :

RBID : pubmed:24466396

Abstract

In recent years, laser surgery has been widely used to treat benign prostatic hyperplasia (BPH). A thulium:yttrium-aluminium-garnet (Tm:YAG) laser was recently introduced for BPH surgery. We compared the effectiveness and safety of Tm:YAG laser vaporesection of the prostate (ThuVaRP) with that of bipolar transurethral resection of the prostate (TURP).

DOI: 10.4111/kju.2014.55.1.41
PubMed: 24466396


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pubmed:24466396

Le document en format XML

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<title xml:lang="en">An Analytical Comparison of Short-term Effectiveness and Safety Between Thulium:YAG Laser Vaporesection of the Prostate and Bipolar Transurethral Resection of the Prostate in Patients With Benign Prostatic Hyperplasia.</title>
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<div type="abstract" xml:lang="en">In recent years, laser surgery has been widely used to treat benign prostatic hyperplasia (BPH). A thulium:yttrium-aluminium-garnet (Tm:YAG) laser was recently introduced for BPH surgery. We compared the effectiveness and safety of Tm:YAG laser vaporesection of the prostate (ThuVaRP) with that of bipolar transurethral resection of the prostate (TURP).</div>
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<Month>01</Month>
<Day>27</Day>
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<DateCompleted>
<Year>2014</Year>
<Month>01</Month>
<Day>27</Day>
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<Volume>55</Volume>
<Issue>1</Issue>
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<Month>Jan</Month>
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<Title>Korean journal of urology</Title>
<ISOAbbreviation>Korean J Urol</ISOAbbreviation>
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<ArticleTitle>An Analytical Comparison of Short-term Effectiveness and Safety Between Thulium:YAG Laser Vaporesection of the Prostate and Bipolar Transurethral Resection of the Prostate in Patients With Benign Prostatic Hyperplasia.</ArticleTitle>
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<MedlinePgn>41-6</MedlinePgn>
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<ELocationID EIdType="doi" ValidYN="Y">10.4111/kju.2014.55.1.41</ELocationID>
<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">In recent years, laser surgery has been widely used to treat benign prostatic hyperplasia (BPH). A thulium:yttrium-aluminium-garnet (Tm:YAG) laser was recently introduced for BPH surgery. We compared the effectiveness and safety of Tm:YAG laser vaporesection of the prostate (ThuVaRP) with that of bipolar transurethral resection of the prostate (TURP).</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">From January 2010 to December 2012, 86 patients underwent surgical treatment for symptomatic BPH by a single surgeon. We retrospectively analyzed and compared the medical records of 43 patients who underwent ThuVaRP and 43 patients who underwent bipolar TURP. All patients were assessed by using the International Prostate Symptom Score, transrectal ultrasonography, the serum prostate-specific antigen (PSA) level, uroflowmetry, and postvoid residual volume before and 1 month after surgery. All complications were compared between the two groups.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">ThuVaRP was superior to TURP in catheterization time (p<0.001) and length of hospital stay (p<0.001). However, operation time was longer with ThuVaRP than with TURP (p<0.001). In patients with a large prostate (>50 g), operation time was much longer with ThuVaRP. One month after surgery, the decrease in PSA was greater (p=0.045) with ThuVaRP than with TURP, and the increase in maximal urine flow rate was greater (p<0.001) with ThuVaRP than with TURP. The postoperative complication transient urinary incontinence was significantly different between the ThuVaRP group (nine cases, 20.9%) and the TURP group (two cases, 4.7%). Other complications were comparable between groups.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The effectiveness and safety of ThuVaRP and TURP were comparable. ThuVaRP is a promising alternative surgical technique to TURP for BPH.</AbstractText>
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