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Thulium laser versus standard transurethral resection of the prostate: a randomized prospective trial.

Identifieur interne : 000618 ( PubMed/Corpus ); précédent : 000617; suivant : 000619

Thulium laser versus standard transurethral resection of the prostate: a randomized prospective trial.

Auteurs : Shu-Jie Xia ; Jian Zhuo ; Xiao-Wen Sun ; Bang-Min Han ; Yi Shao ; Yi-Nan Zhang

Source :

RBID : pubmed:17566639

English descriptors

Abstract

Thulium laser resection of the prostate-tangerine technique (TmLRP-TT) is a transurethral procedure that uses thulium laser fiber to dissect whole prostatic lobes off the surgical capsule, similar to peeling a tangerine. To our knowledge we report the first prospective, randomized study comparing TmLRP-TT and standard TURP for symptomatic BPH.

DOI: 10.1016/j.eururo.2007.05.019
PubMed: 17566639

Links to Exploration step

pubmed:17566639

Le document en format XML

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<title xml:lang="en">Thulium laser versus standard transurethral resection of the prostate: a randomized prospective trial.</title>
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<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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<nlm:affiliation>Department of Urology, First People's Hospital Affiliated to Shanghai Jiaotong University, Shanghai 200080, China. xsj@citiz.net</nlm:affiliation>
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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, Xiao Wen" sort="Sun, Xiao Wen" uniqKey="Sun X" first="Xiao-Wen" last="Sun">Xiao-Wen Sun</name>
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<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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<name sortKey="Shao, Yi" sort="Shao, Yi" uniqKey="Shao Y" first="Yi" last="Shao">Yi Shao</name>
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<name sortKey="Zhang, Yi Nan" sort="Zhang, Yi Nan" uniqKey="Zhang Y" first="Yi-Nan" last="Zhang">Yi-Nan Zhang</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, Xiao Wen" sort="Sun, Xiao Wen" uniqKey="Sun X" first="Xiao-Wen" last="Sun">Xiao-Wen Sun</name>
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<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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<name sortKey="Shao, Yi" sort="Shao, Yi" uniqKey="Shao Y" first="Yi" last="Shao">Yi Shao</name>
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<term>Laser Therapy (methods)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Postoperative Complications</term>
<term>Prospective Studies</term>
<term>Prostatic Hyperplasia (surgery)</term>
<term>Thulium</term>
<term>Transurethral Resection of Prostate</term>
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<term>Prostatic Hyperplasia</term>
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<term>Aged, 80 and over</term>
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<div type="abstract" xml:lang="en">Thulium laser resection of the prostate-tangerine technique (TmLRP-TT) is a transurethral procedure that uses thulium laser fiber to dissect whole prostatic lobes off the surgical capsule, similar to peeling a tangerine. To our knowledge we report the first prospective, randomized study comparing TmLRP-TT and standard TURP for symptomatic BPH.</div>
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<Day>13</Day>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Thulium laser resection of the prostate-tangerine technique (TmLRP-TT) is a transurethral procedure that uses thulium laser fiber to dissect whole prostatic lobes off the surgical capsule, similar to peeling a tangerine. To our knowledge we report the first prospective, randomized study comparing TmLRP-TT and standard TURP for symptomatic BPH.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">From November 2004 to December 2005, 100 consecutive BPH patients were randomized for surgical treatment with TmLRP-TT (n=52) or TURP (n=48). All patients were preoperatively assessed with subjective symptoms score, International Index of Erectile Function questionnaire, and complete urodynamic evaluation. Preoperative and perioperative parameters at 1-, 6-, and 12-mo follow-up were also evaluated. All complications were recorded.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">TmLRP-TT was significantly superior to TURP in terms of catheterization time (45.7+/-25.8h vs. 87.4+/-33.8h, p<0.0001), hospital stay (115.1+/-25.5h vs. 161.1+/-33.8h, p<0.0001), and drop in hemoglobin (0.92+/-0.82 g/dl vs. 1.46+/-0.65 g/dl, p<0.001), whereas it required equivalent time to perform (46.3+/-16.2 vs. 50.4+/-20.7 min, p>0.05). TmLRP-TT and TURP resulted in a significant improvement from baseline in terms of subjective symptoms scoring and urodynamic finding, but no significant difference was found between the two groups. Late complications were also comparable.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">TmLRP-TT is an almost bloodless procedure with high efficacy and little perioperative morbidity. TmLRP-TT is superior to TURP in safety and is as efficacious as TURP in 1-yr follow-up. It is a promising technology in the clinical practice field.</AbstractText>
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