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Prostatectomy using different lasers for the treatment of benign prostate hyperplasia in aging males.

Identifieur interne : 000258 ( PubMed/Checkpoint ); précédent : 000257; suivant : 000259

Prostatectomy using different lasers for the treatment of benign prostate hyperplasia in aging males.

Auteurs : Wei-Chang Lee [Taïwan] ; Yu-Hsiang Lin ; Chen-Pang Hou ; Phei-Lang Chang ; Chien-Lun Chen ; Horng-Heng Juang ; Ke-Hung Tsui

Source :

RBID : pubmed:24255595

Descripteurs français

English descriptors

Abstract

Endoscopic lasers have become a treatment option for benign prostate hyperplasia (BPH). The study reported here sought to elucidate the benefits and drawbacks of different laser systems in the treatment of patients with BPH.

DOI: 10.2147/CIA.S52697
PubMed: 24255595


Affiliations:


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pubmed:24255595

Le document en format XML

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<term>Aged</term>
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<term>Laser Therapy (methods)</term>
<term>Logistic Models</term>
<term>Male</term>
<term>Outcome Assessment (Health Care) (methods)</term>
<term>Prostatectomy (methods)</term>
<term>Prostatic Hyperplasia (physiopathology)</term>
<term>Prostatic Hyperplasia (surgery)</term>
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<term>Humains</term>
<term>Hyperplasie de la prostate ()</term>
<term>Hyperplasie de la prostate (physiopathologie)</term>
<term>Modèles logistiques</term>
<term>Mâle</term>
<term>Prostatectomie ()</term>
<term>Sujet âgé</term>
<term>Thérapie laser ()</term>
<term>Vieillissement</term>
<term>Évaluation de résultat (soins) ()</term>
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<term>Hyperplasie de la prostate</term>
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<term>Prostatectomie</term>
<term>Sujet âgé</term>
<term>Thérapie laser</term>
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<div type="abstract" xml:lang="en">Endoscopic lasers have become a treatment option for benign prostate hyperplasia (BPH). The study reported here sought to elucidate the benefits and drawbacks of different laser systems in the treatment of patients with BPH.</div>
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<Title>Clinical interventions in aging</Title>
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<ArticleTitle>Prostatectomy using different lasers for the treatment of benign prostate hyperplasia in aging males.</ArticleTitle>
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<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Endoscopic lasers have become a treatment option for benign prostate hyperplasia (BPH). The study reported here sought to elucidate the benefits and drawbacks of different laser systems in the treatment of patients with BPH.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">The study enrolled 741 patients diagnosed with lower urinary tract symptoms secondary to BPH during the period January 2005 to December 2011. The techniques used in the study were photoselective vaporization of the prostate, thulium laser prostatectomy, and diode laser prostatectomy. Patients were assigned to one of three groups according to the type of laser treatment they received. Outcomes were evaluated using the International Prostate Symptom Score (IPSS), quality of life, maximal urinary flow rate, post-voiding residual urine volume, and prostate-specific antigen (PSA) level.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The baseline characteristics of patients who received diode laser prostatectomy show a significant elevated risk and high American Society of Anesthesiology score (P=0.001). Operative time and catheter removal time differed significantly between the three groups (P=0.001). No cases were converted to transurethral resection of the prostate intraoperatively due to bleeding (P=0.142). Among the three groups, there were no significant differences in maximal flow rate, lower post-void residual urine, and postoperative PSA level during the entire follow-up period (P<0.05). Further, no significant differences in postoperative IPSS, quality of life, or bladder neck contracture (P=0.23) were observed. However, a significant difference was observed with regard to prolonged use of Foley catheters and prolonged hospital stay among patients in the diode laser group (P=0.001).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Laser prostatectomies are effective in dealing with lower urinary tract symptoms. Early subjective functional results (maximal flow rate, IPSS, and post-void residual urine) appeared the same as those obtained following laser prostatectomy. Thus, it appears that lasers are safe and effective as long as the patients are carefully selected for treatment.</AbstractText>
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<RefSource>Eur Urol. 2004 Nov;46(5):547-54</RefSource>
<PMID Version="1">15474261</PMID>
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<RefSource>Urology. 2005 Nov;66(5 Suppl):108-13</RefSource>
<PMID Version="1">16194716</PMID>
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<CommentsCorrections RefType="Cites">
<RefSource>Eur Urol. 2006 Nov;50(5):969-79; discussion 980</RefSource>
<PMID Version="1">16469429</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Eur Urol. 2007 Dec;52(6):1717-22</RefSource>
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<PMID Version="1">19220261</PMID>
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<RefSource>World J Urol. 2009 Aug;27(4):541-5</RefSource>
<PMID Version="1">19184038</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>J Urol. 2009 Sep;182(3):1078-82</RefSource>
<PMID Version="1">19616811</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>World J Urol. 2010 Feb;28(1):39-43</RefSource>
<PMID Version="1">19669645</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>World J Urol. 2010 Feb;28(1):53-62</RefSource>
<PMID Version="1">20052586</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>BJU Int. 2011 Apr;107(7):1030-43</RefSource>
<PMID Version="1">21438974</PMID>
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<RefSource>Eur Urol. 2011 Oct;60(4):734-9</RefSource>
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<RefSource>BJU Int. 2011 Nov;108 Suppl 2:45-50</RefSource>
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