Thulium Laser Prostate Enucleation in Refractory Urinary Retention: Operative and Functional Outcomes in a Large Cohort of Patients.
Identifieur interne : 000007 ( PubMed/Curation ); précédent : 000006; suivant : 000008Thulium Laser Prostate Enucleation in Refractory Urinary Retention: Operative and Functional Outcomes in a Large Cohort of Patients.
Auteurs : Luca Carmignani [Italie] ; Antonio Luigi Pastore [Italie] ; Stefano Carlo Maria Picozzi [Italie] ; Elisabetta Finkelberg [Italie] ; Dario Ratti [Italie] ; Damiano Vizziello [Italie] ; Maria Lucia Schirinzi [Italie] ; Antonino Saccà [Italie] ; Francesca Pisano [Italie] ; Serena Maruccia [Italie]Source :
- Urology [ 1527-9995 ] ; 2016.
Abstract
To evaluate the functional and operative results of thulium laser enucleation of the prostate (ThuLEP) in patients with indwelling catheters for refractory urinary retention.
DOI: 10.1016/j.urology.2016.02.015
PubMed: 27018368
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<front><div type="abstract" xml:lang="en">To evaluate the functional and operative results of thulium laser enucleation of the prostate (ThuLEP) in patients with indwelling catheters for refractory urinary retention.</div>
</front>
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<Month>5</Month>
<Day>3</Day>
</DateCreated>
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<Day>23</Day>
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<ArticleTitle>Thulium Laser Prostate Enucleation in Refractory Urinary Retention: Operative and Functional Outcomes in a Large Cohort of Patients.</ArticleTitle>
<Pagination><MedlinePgn></MedlinePgn>
</Pagination>
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<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To evaluate the functional and operative results of thulium laser enucleation of the prostate (ThuLEP) in patients with indwelling catheters for refractory urinary retention.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Patients with indwelling catheter, undergoing ThuLEP for benign prostate hyperplasia, were prospectively enrolled. Every episode of urinary retention was treated with urinary catheter positioning followed by at least 2 attempts of catheter removal. Patients were investigated with flowmetry and the self-administered International Prostate Symptom Score questionnaire at 30 and 90 days following ThuLEP.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Three hundred eighty-one patients underwent ThuLEP, and 99 of these had indwelling catheters, but only 93 (24%) were eligible according to the inclusion criteria. In 46 patients the bladder catheter was removed on the first postoperative day, in 31 patients on the second postoperative day, in 5 patients on the third postoperative day, in 6 patients on the fourth postoperative day, in 1 patient on the fifth postoperative day, and in 2 patients each on the sixth and seventh postoperative days. The average hospital stay was 2.3 (±1.7) days. No patients undergoing ThuLEP, at the 90-day follow-up, required further catheterization. Flowmetry showed significant improvement in all parameters, and the mean International Prostate Symptom Score dropped from 21.33 preoperatively to 3.2 (P = .004) at 90 days postoperatively.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">This prospective study shows that ThuLEP is a safe and effective approach in refractory urinary retention patients. In our case series, no patients required postoperative intermittent catheterization. All functional outcomes investigated reported a statistical significant improvement.</AbstractText>
<CopyrightInformation>Copyright © 2016 Elsevier Inc. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList><Author><LastName>Carmignani</LastName>
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<ForeName>Antonio Luigi</ForeName>
<Initials>AL</Initials>
<AffiliationInfo><Affiliation>Urology Division, Department of Medico Surgical Sciences and Biotechnologies, Sapienza University of Rome, Faculty of Pharmacy and Medicine, Latina, Italy.</Affiliation>
</AffiliationInfo>
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<ForeName>Stefano Carlo Maria</ForeName>
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<AffiliationInfo><Affiliation>Department of Urology, IRCCS Policlinico San Donato, Milan, Italy.</Affiliation>
</AffiliationInfo>
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<ForeName>Elisabetta</ForeName>
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</AffiliationInfo>
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<Author><LastName>Saccà</LastName>
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</AffiliationInfo>
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<ForeName>Francesca</ForeName>
<Initials>F</Initials>
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</AffiliationInfo>
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<ForeName>Serena</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Department of Urology, IRCCS Policlinico San Donato, Milan, Italy. Electronic address: serena.maruccia.urologia@gmail.com.</Affiliation>
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