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A randomized trial comparing thulium laser resection to standard transurethral resection of the prostate for symptomatic benign prostatic hyperplasia: four-year follow-up results.

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

A randomized trial comparing thulium laser resection to standard transurethral resection of the prostate for symptomatic benign prostatic hyperplasia: four-year follow-up results.

Auteurs : Di Cui ; Feng Sun ; Jian Zhuo ; Xiaowen Sun ; Bangmin Han ; Fujun Zhao ; Yifeng Jing ; Jun Lu ; Shujie Xia

Source :

RBID : pubmed:23913094

English descriptors

Abstract

To report the results of a randomized prospective trial with a 4-year follow-up, comparing the thulium laser resection of the prostate-tangerine technique (TmLRP-TT) with transurethral resection of prostate (TURP) for treatment of symptomatic benign prostatic hyperplasia (BPH).

DOI: 10.1007/s00345-013-1103-6
PubMed: 23913094

Links to Exploration step

pubmed:23913094

Le document en format XML

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<title xml:lang="en">A randomized trial comparing thulium laser resection to standard transurethral resection of the prostate for symptomatic benign prostatic hyperplasia: four-year follow-up results.</title>
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<name sortKey="Cui, Di" sort="Cui, Di" uniqKey="Cui D" first="Di" last="Cui">Di Cui</name>
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<nlm:affiliation>Department of Urology, Shanghai First People's Hospital, School of Medicine, Shanghai Jiao Tong University, No.100, Haining Road, Shanghai, 200080, China.</nlm:affiliation>
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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="Zhuo, Jian" sort="Zhuo, Jian" uniqKey="Zhuo J" first="Jian" last="Zhuo">Jian Zhuo</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="Han, Bangmin" sort="Han, Bangmin" uniqKey="Han B" first="Bangmin" last="Han">Bangmin Han</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="Jing, Yifeng" sort="Jing, Yifeng" uniqKey="Jing Y" first="Yifeng" last="Jing">Yifeng Jing</name>
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<name sortKey="Lu, Jun" sort="Lu, Jun" uniqKey="Lu J" first="Jun" last="Lu">Jun Lu</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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<term>Laser Therapy (methods)</term>
<term>Lasers, Solid-State (therapeutic use)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
<term>Prostatic Hyperplasia (diagnosis)</term>
<term>Prostatic Hyperplasia (surgery)</term>
<term>Time Factors</term>
<term>Transurethral Resection of Prostate (methods)</term>
<term>Treatment Outcome</term>
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<term>Prostatic Hyperplasia</term>
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<term>Transurethral Resection of Prostate</term>
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<div type="abstract" xml:lang="en">To report the results of a randomized prospective trial with a 4-year follow-up, comparing the thulium laser resection of the prostate-tangerine technique (TmLRP-TT) with transurethral resection of prostate (TURP) for treatment of symptomatic benign prostatic hyperplasia (BPH).</div>
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<Year>2014</Year>
<Month>05</Month>
<Day>23</Day>
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<Year>2015</Year>
<Month>01</Month>
<Day>09</Day>
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<ISSN IssnType="Electronic">1433-8726</ISSN>
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<Volume>32</Volume>
<Issue>3</Issue>
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<Year>2014</Year>
<Month>Jun</Month>
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<Title>World journal of urology</Title>
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<ArticleTitle>A randomized trial comparing thulium laser resection to standard transurethral resection of the prostate for symptomatic benign prostatic hyperplasia: four-year follow-up results.</ArticleTitle>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To report the results of a randomized prospective trial with a 4-year follow-up, comparing the thulium laser resection of the prostate-tangerine technique (TmLRP-TT) with transurethral resection of prostate (TURP) for treatment of symptomatic benign prostatic hyperplasia (BPH).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">BPH patients (96) were randomized for surgical treatment with TmLRP-TT (47) or TURP (49). All patients were assessed pre-operatively and followed at 12, 24, 36, and 48 months post-operatively. Several parameters related to BPH were collected at each follow-up, including International Prostate Symptom Score (IPSS), quality of life (QoL), maximum urinary flow rates (Qmax), and post-void residual volume (PVR). All late complications were also recorded.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Dramatic improvement in micturition parameters was observed after TmLRP-TT compared with pre-operative values. Median IPSS decreased 75.6 % in the subsequent 12 months and 61.2 % in 48 months, while median QoL decreased by 80.4 and 59.1 %, respectively. Compared with baseline, numerical values of Qmax increased 1.07-fold and those of PVR decreased 73.1 % in the fourth year. Moreover, all micturition parameters in the TmLRP-TT group were similar to those of TURP patients at every annual assessment. Some late complications after the operations were also observed: one patient suffered from urethral strictures and one from bladder-neck contractures after TmLRP-TT. Re-operation rates were equal in the two groups.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Micturition remained stable after TmLRP-TT during the 4-year follow-up. Outcomes compared favourably with TURP, with lower peri-operative morbidity and equally low occurrence of late adverse effects. Thus, TmLRP-TT can be an available option for BPH patients, especially older, high-risk patients.</AbstractText>
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