Two-micrometer thulium laser resection of the prostate-tangerine technique for patients with acute urinary retention.
Identifieur interne : 000231 ( PubMed/Corpus ); précédent : 000230; suivant : 000232Two-micrometer thulium laser resection of the prostate-tangerine technique for patients with acute urinary retention.
Auteurs : Jian Zhuo ; Hai-Bin Wei ; Fu-Jun Zhao ; Feng Sun ; Bang-Min Han ; Xiao-Wen Sun ; Shu-Jie XiaSource :
- Lasers in medical science [ 1435-604X ] ; 2014.
English descriptors
- KwdEn :
- MESH :
- complications : Prostatic Hyperplasia.
- etiology : Urinary Retention.
- surgery : Urinary Retention.
- Acute Disease, Aged, Aged, 80 and over, Humans, Laser Therapy, Lasers, Solid-State, Length of Stay, Male, Middle Aged, Postoperative Period, Prospective Studies, Quality of Life, Treatment Outcome.
Abstract
Two-micrometer thulium laser resection of the prostate-tangerine technique (TmLRP-TT) has been introduced as a minimally invasive treatment for benign prostatic hyperplasia (BPH). Acute urinary retention (AUR) is a common and serious complication of BPH. The study was undertaken to assess the clinical efficacy and safety of TmLRP-TT in the treatment of patients with AUR secondary to BPH. A prospective evaluation of 52 patients undergoing TmLRP-TT from December 2011 to November 2012 was carried out. Preoperative status, surgical details, and perioperative complications were recorded. The follow-up outcome was evaluated with subjective and objective tests at 1 and 6 months. Mean age was 70.3 ± 7.8 years old. Mean prostate volume was 69.6 ± 31.6 ml, and mean residual volume with retention was 274.5 ± 150.7 ml. Mean operative time was 64.1 ± 30.4 min. Mean catheterization duration was 5.4 ± 1.1 days. The mean International Prostate Symptom Score, quality of life score, and postvoid residual urine volume decreased significantly at 6-month follow-up (21.6 ± 6.8 vs. 6.8 ± 3.2, 4.4 ± 1.2 vs. 0.9 ± 0.8, 274.5 ± 150.7 vs. 40.6 ± 22.5 ml). The mean maximum urinary flow rate was 18.7 ± 6.9 ml/s postoperative. Two (3.8 %) of the patients required blood transfusion in operation. Five (9.6 %) of the patients had transient hematuria postoperative, and two (3.8 %) of them received 3 days recatheterization due to clot retention. The early clinical results suggest that the TmLRP-TT is a promising safe, effective, and minimally invasive treatment for patients with AUR secondary to BPH. The incidence of complications was low.
DOI: 10.1007/s10103-013-1474-3
PubMed: 24189927
Links to Exploration step
pubmed:24189927Le document en format XML
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<author><name sortKey="Zhuo, Jian" sort="Zhuo, Jian" uniqKey="Zhuo J" first="Jian" last="Zhuo">Jian Zhuo</name>
<affiliation><nlm:affiliation>Department of Urology, Shanghai First People's Hospital, School of Medicine, Shanghai Jiao Tong University, No.100, Haining Road, Shanghai, 200080, People's Republic of China.</nlm:affiliation>
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<author><name sortKey="Wei, Hai Bin" sort="Wei, Hai Bin" uniqKey="Wei H" first="Hai-Bin" last="Wei">Hai-Bin Wei</name>
</author>
<author><name sortKey="Zhao, Fu Jun" sort="Zhao, Fu Jun" uniqKey="Zhao F" first="Fu-Jun" last="Zhao">Fu-Jun Zhao</name>
</author>
<author><name sortKey="Sun, Feng" sort="Sun, Feng" uniqKey="Sun F" first="Feng" last="Sun">Feng Sun</name>
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<author><name sortKey="Han, Bang Min" sort="Han, Bang Min" uniqKey="Han B" first="Bang-Min" last="Han">Bang-Min Han</name>
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<author><name sortKey="Sun, Xiao Wen" sort="Sun, Xiao Wen" uniqKey="Sun X" first="Xiao-Wen" last="Sun">Xiao-Wen Sun</name>
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<author><name sortKey="Xia, Shu Jie" sort="Xia, Shu Jie" uniqKey="Xia S" first="Shu-Jie" last="Xia">Shu-Jie Xia</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Two-micrometer thulium laser resection of the prostate-tangerine technique for patients with acute urinary retention.</title>
<author><name sortKey="Zhuo, Jian" sort="Zhuo, Jian" uniqKey="Zhuo J" first="Jian" last="Zhuo">Jian Zhuo</name>
<affiliation><nlm:affiliation>Department of Urology, Shanghai First People's Hospital, School of Medicine, Shanghai Jiao Tong University, No.100, Haining Road, Shanghai, 200080, People's Republic of China.</nlm:affiliation>
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<author><name sortKey="Wei, Hai Bin" sort="Wei, Hai Bin" uniqKey="Wei H" first="Hai-Bin" last="Wei">Hai-Bin Wei</name>
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<author><name sortKey="Zhao, Fu Jun" sort="Zhao, Fu Jun" uniqKey="Zhao F" first="Fu-Jun" last="Zhao">Fu-Jun Zhao</name>
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<author><name sortKey="Sun, Feng" sort="Sun, Feng" uniqKey="Sun F" first="Feng" last="Sun">Feng Sun</name>
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<author><name sortKey="Han, Bang Min" sort="Han, Bang Min" uniqKey="Han B" first="Bang-Min" last="Han">Bang-Min Han</name>
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<author><name sortKey="Sun, Xiao Wen" sort="Sun, Xiao Wen" uniqKey="Sun X" first="Xiao-Wen" last="Sun">Xiao-Wen Sun</name>
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<author><name sortKey="Xia, Shu Jie" sort="Xia, Shu Jie" uniqKey="Xia S" first="Shu-Jie" last="Xia">Shu-Jie Xia</name>
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<series><title level="j">Lasers in medical science</title>
<idno type="eISSN">1435-604X</idno>
<imprint><date when="2014" type="published">2014</date>
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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Humans</term>
<term>Laser Therapy</term>
<term>Lasers, Solid-State</term>
<term>Length of Stay</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Postoperative Period</term>
<term>Prospective Studies</term>
<term>Prostatic Hyperplasia (complications)</term>
<term>Quality of Life</term>
<term>Treatment Outcome</term>
<term>Urinary Retention (etiology)</term>
<term>Urinary Retention (surgery)</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Prostatic Hyperplasia</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Urinary Retention</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Urinary Retention</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Acute Disease</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Humans</term>
<term>Laser Therapy</term>
<term>Lasers, Solid-State</term>
<term>Length of Stay</term>
<term>Male</term>
<term>Middle Aged</term>
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<front><div type="abstract" xml:lang="en">Two-micrometer thulium laser resection of the prostate-tangerine technique (TmLRP-TT) has been introduced as a minimally invasive treatment for benign prostatic hyperplasia (BPH). Acute urinary retention (AUR) is a common and serious complication of BPH. The study was undertaken to assess the clinical efficacy and safety of TmLRP-TT in the treatment of patients with AUR secondary to BPH. A prospective evaluation of 52 patients undergoing TmLRP-TT from December 2011 to November 2012 was carried out. Preoperative status, surgical details, and perioperative complications were recorded. The follow-up outcome was evaluated with subjective and objective tests at 1 and 6 months. Mean age was 70.3 ± 7.8 years old. Mean prostate volume was 69.6 ± 31.6 ml, and mean residual volume with retention was 274.5 ± 150.7 ml. Mean operative time was 64.1 ± 30.4 min. Mean catheterization duration was 5.4 ± 1.1 days. The mean International Prostate Symptom Score, quality of life score, and postvoid residual urine volume decreased significantly at 6-month follow-up (21.6 ± 6.8 vs. 6.8 ± 3.2, 4.4 ± 1.2 vs. 0.9 ± 0.8, 274.5 ± 150.7 vs. 40.6 ± 22.5 ml). The mean maximum urinary flow rate was 18.7 ± 6.9 ml/s postoperative. Two (3.8 %) of the patients required blood transfusion in operation. Five (9.6 %) of the patients had transient hematuria postoperative, and two (3.8 %) of them received 3 days recatheterization due to clot retention. The early clinical results suggest that the TmLRP-TT is a promising safe, effective, and minimally invasive treatment for patients with AUR secondary to BPH. The incidence of complications was low.</div>
</front>
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<Abstract><AbstractText>Two-micrometer thulium laser resection of the prostate-tangerine technique (TmLRP-TT) has been introduced as a minimally invasive treatment for benign prostatic hyperplasia (BPH). Acute urinary retention (AUR) is a common and serious complication of BPH. The study was undertaken to assess the clinical efficacy and safety of TmLRP-TT in the treatment of patients with AUR secondary to BPH. A prospective evaluation of 52 patients undergoing TmLRP-TT from December 2011 to November 2012 was carried out. Preoperative status, surgical details, and perioperative complications were recorded. The follow-up outcome was evaluated with subjective and objective tests at 1 and 6 months. Mean age was 70.3 ± 7.8 years old. Mean prostate volume was 69.6 ± 31.6 ml, and mean residual volume with retention was 274.5 ± 150.7 ml. Mean operative time was 64.1 ± 30.4 min. Mean catheterization duration was 5.4 ± 1.1 days. The mean International Prostate Symptom Score, quality of life score, and postvoid residual urine volume decreased significantly at 6-month follow-up (21.6 ± 6.8 vs. 6.8 ± 3.2, 4.4 ± 1.2 vs. 0.9 ± 0.8, 274.5 ± 150.7 vs. 40.6 ± 22.5 ml). The mean maximum urinary flow rate was 18.7 ± 6.9 ml/s postoperative. Two (3.8 %) of the patients required blood transfusion in operation. Five (9.6 %) of the patients had transient hematuria postoperative, and two (3.8 %) of them received 3 days recatheterization due to clot retention. The early clinical results suggest that the TmLRP-TT is a promising safe, effective, and minimally invasive treatment for patients with AUR secondary to BPH. The incidence of complications was low.</AbstractText>
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