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Thulium laser resection versus plasmakinetic resection of prostates larger than 80 ml.

Identifieur interne : 000222 ( PubMed/Corpus ); précédent : 000221; suivant : 000223

Thulium laser resection versus plasmakinetic resection of prostates larger than 80 ml.

Auteurs : Haibin Wei ; Yi Shao ; Feng Sun ; Xiaowen Sun ; Jian Zhuo ; Fujun Zhao ; Bangmin Han ; Juntao Jiang ; Huirong Chen ; Shujie Xia

Source :

RBID : pubmed:24264126

English descriptors

Abstract

To compare the safety and efficiency of thulium laser resection of the prostate-tangerine technique (TmLRP-TT) and plasmakinetic resection of the prostate (PKRP) for aged symptomatic benign prostatic hyperplasia (BPH) patients with large volume prostates (>80 ml) in a prospective randomized trial with an 18-month follow-up.

DOI: 10.1007/s00345-013-1210-4
PubMed: 24264126

Links to Exploration step

pubmed:24264126

Le document en format XML

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<title xml:lang="en">Thulium laser resection versus plasmakinetic resection of prostates larger than 80 ml.</title>
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<name sortKey="Wei, Haibin" sort="Wei, Haibin" uniqKey="Wei H" first="Haibin" last="Wei">Haibin Wei</name>
<affiliation>
<nlm:affiliation>Department of Urology, Shanghai First People's Hospital, School of Medicine, Shanghai Jiao Tong University, No. 100, Haining Road, Hongkou District, Shanghai, 200080, China.</nlm:affiliation>
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<name sortKey="Shao, Yi" sort="Shao, Yi" uniqKey="Shao Y" first="Yi" last="Shao">Yi Shao</name>
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<name sortKey="Sun, Feng" sort="Sun, Feng" uniqKey="Sun F" first="Feng" last="Sun">Feng Sun</name>
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<name sortKey="Sun, Xiaowen" sort="Sun, Xiaowen" uniqKey="Sun X" first="Xiaowen" last="Sun">Xiaowen Sun</name>
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<name sortKey="Zhuo, Jian" sort="Zhuo, Jian" uniqKey="Zhuo J" first="Jian" last="Zhuo">Jian Zhuo</name>
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<name sortKey="Zhao, Fujun" sort="Zhao, Fujun" uniqKey="Zhao F" first="Fujun" last="Zhao">Fujun Zhao</name>
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<name sortKey="Han, Bangmin" sort="Han, Bangmin" uniqKey="Han B" first="Bangmin" last="Han">Bangmin Han</name>
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<name sortKey="Jiang, Juntao" sort="Jiang, Juntao" uniqKey="Jiang J" first="Juntao" last="Jiang">Juntao Jiang</name>
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<name sortKey="Chen, Huirong" sort="Chen, Huirong" uniqKey="Chen H" first="Huirong" last="Chen">Huirong Chen</name>
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<name sortKey="Xia, Shujie" sort="Xia, Shujie" uniqKey="Xia S" first="Shujie" last="Xia">Shujie Xia</name>
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<name sortKey="Shao, Yi" sort="Shao, Yi" uniqKey="Shao Y" first="Yi" last="Shao">Yi Shao</name>
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<name sortKey="Sun, Feng" sort="Sun, Feng" uniqKey="Sun F" first="Feng" last="Sun">Feng Sun</name>
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<name sortKey="Sun, Xiaowen" sort="Sun, Xiaowen" uniqKey="Sun X" first="Xiaowen" last="Sun">Xiaowen Sun</name>
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<name sortKey="Zhuo, Jian" sort="Zhuo, Jian" uniqKey="Zhuo J" first="Jian" last="Zhuo">Jian Zhuo</name>
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<name sortKey="Zhao, Fujun" sort="Zhao, Fujun" uniqKey="Zhao F" first="Fujun" last="Zhao">Fujun Zhao</name>
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<name sortKey="Han, Bangmin" sort="Han, Bangmin" uniqKey="Han B" first="Bangmin" last="Han">Bangmin Han</name>
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<name sortKey="Jiang, Juntao" sort="Jiang, Juntao" uniqKey="Jiang J" first="Juntao" last="Jiang">Juntao Jiang</name>
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<name sortKey="Chen, Huirong" sort="Chen, Huirong" uniqKey="Chen H" first="Huirong" last="Chen">Huirong Chen</name>
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<name sortKey="Xia, Shujie" sort="Xia, Shujie" uniqKey="Xia S" first="Shujie" last="Xia">Shujie Xia</name>
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<series>
<title level="j">World journal of urology</title>
<idno type="eISSN">1433-8726</idno>
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<date when="2014" type="published">2014</date>
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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Blood Loss, Surgical</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Incidence</term>
<term>Laser Therapy (methods)</term>
<term>Lasers, Solid-State</term>
<term>Length of Stay</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Organ Size</term>
<term>Prospective Studies</term>
<term>Prostate (pathology)</term>
<term>Prostate (surgery)</term>
<term>Prostatectomy (methods)</term>
<term>Prostatic Hyperplasia (pathology)</term>
<term>Prostatic Hyperplasia (surgery)</term>
<term>Thulium</term>
<term>Treatment Outcome</term>
<term>Urination Disorders (epidemiology)</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Thulium</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Urination Disorders</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Laser Therapy</term>
<term>Prostatectomy</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Prostate</term>
<term>Prostatic Hyperplasia</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Prostate</term>
<term>Prostatic Hyperplasia</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Blood Loss, Surgical</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Incidence</term>
<term>Lasers, Solid-State</term>
<term>Length of Stay</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Organ Size</term>
<term>Prospective Studies</term>
<term>Treatment Outcome</term>
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<front>
<div type="abstract" xml:lang="en">To compare the safety and efficiency of thulium laser resection of the prostate-tangerine technique (TmLRP-TT) and plasmakinetic resection of the prostate (PKRP) for aged symptomatic benign prostatic hyperplasia (BPH) patients with large volume prostates (>80 ml) in a prospective randomized trial with an 18-month follow-up.</div>
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<PMID Version="1">24264126</PMID>
<DateCreated>
<Year>2014</Year>
<Month>07</Month>
<Day>23</Day>
</DateCreated>
<DateCompleted>
<Year>2015</Year>
<Month>11</Month>
<Day>17</Day>
</DateCompleted>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1433-8726</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>32</Volume>
<Issue>4</Issue>
<PubDate>
<Year>2014</Year>
<Month>Aug</Month>
</PubDate>
</JournalIssue>
<Title>World journal of urology</Title>
<ISOAbbreviation>World J Urol</ISOAbbreviation>
</Journal>
<ArticleTitle>Thulium laser resection versus plasmakinetic resection of prostates larger than 80 ml.</ArticleTitle>
<Pagination>
<MedlinePgn>1077-85</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1007/s00345-013-1210-4</ELocationID>
<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To compare the safety and efficiency of thulium laser resection of the prostate-tangerine technique (TmLRP-TT) and plasmakinetic resection of the prostate (PKRP) for aged symptomatic benign prostatic hyperplasia (BPH) patients with large volume prostates (>80 ml) in a prospective randomized trial with an 18-month follow-up.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">From January 2010 to November 2011, 90 BPH patients with large volume prostates were randomized for surgical treatment with TmLRP-TT (n = 45, group 1) or PKRP (n = 45, group 2). The preoperative and postoperative parameters were recorded and compared. All patients were evaluated at 1, 6, 12 and 18 months postoperatively using the International Prostate Symptom Score (IPSS), quality of life score (QoL), maximum flow rate (Q max), postvoid residual urine volume (PVR) and the five-item version of the International Index of Erectile Function score. All perioperative complications were also documented and classified according to the modified Clavien classification system.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Compared with the PKRP group, the TmLRP-TT group had a statistically lower hemoglobin drop (0.86 ± 0.42 vs. 1.34 ± 1.04 g/dl, P < 0.01), shorter catheterization time (1.91 ± 0.85 vs. 2.36 ± 0.74 days, P < 0.01) and hospital stay (3.80 ± 0.46 vs. 5.02 ± 0.54 days, P < 0.01). Within the observation period of 18 months, both groups had significant postoperative improvement in IPSS, QoL, Q max and PVR, although no difference was observed between the two groups. Only one patient receiving PKRP treatment required a blood transfusion perioperatively. During the 18-month follow-up, one patient in each group experienced urethral stricture and one patient in the PKRP group experienced bladder neck contracture. Minor complications that required no or noninterventional treatment occurred in 6 (13.33 %) of TmLRP-TT group (Clavien grade 1, 13.33 % and grade 2, 0 %) and 10 (22.22 %) of PKRP group (Clavien grade 1, 20.00 % and grade 2, 2.22 %). No severe complications required reinterventions in both groups (Clavien grade 3, 0 %; grade 4, 0 %; grade 5, 0 %).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Both TmLRP-TT and PKRP are safe and effective treatment options for large prostates that require resection. Taking into account less blood loss, shorter catheterization time and hospital stay, TmLRP-TT may be a better treatment for patients with large prostates.</AbstractText>
</Abstract>
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<LastName>Wei</LastName>
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<Affiliation>Department of Urology, Shanghai First People's Hospital, School of Medicine, Shanghai Jiao Tong University, No. 100, Haining Road, Hongkou District, Shanghai, 200080, China.</Affiliation>
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<RegistryNumber>8RKC5ATI4P</RegistryNumber>
<NameOfSubstance UI="D013932">Thulium</NameOfSubstance>
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<DescriptorName MajorTopicYN="N" UI="D000368">Aged</DescriptorName>
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<DescriptorName MajorTopicYN="N" UI="D015994">Incidence</DescriptorName>
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<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D009929">Organ Size</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D011446">Prospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D011467">Prostate</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000473">pathology</QualifierName>
<QualifierName MajorTopicYN="N" UI="Q000601">surgery</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D011468">Prostatectomy</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000379">methods</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D011470">Prostatic Hyperplasia</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000473">pathology</QualifierName>
<QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName>
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<DescriptorName MajorTopicYN="Y" UI="D013932">Thulium</DescriptorName>
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<DescriptorName MajorTopicYN="N" UI="D016896">Treatment Outcome</DescriptorName>
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<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D014555">Urination Disorders</DescriptorName>
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<Year>2013</Year>
<Month>8</Month>
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<Month>11</Month>
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