Prostatectomy using different lasers for the treatment of benign prostate hyperplasia in aging males

Wei-Chang Lee,1,* Yu-Hsiang Lin,1,* Chen-Pang Hou,1 Phei-Lang Chang,1 Chien-Lun Chen,1 Horng-Heng Juang,2 Ke-Hung Tsui1 1Department of Urology, Chang Gung Memorial Hospital-Linko and Chang Gung University, College of Medicine, Taiwan, 2Department of Anatomy, College of Medicine, Chang Gung Universit...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Lee WC, Lin YH, Hou CP, Chang PL, Chen CL, Juang HH, Tsui KH
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	prostate gland benign prostatic hyperplasia laser prostatectomy Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/6a0620af70a047fa82b7a2ca66e19c5d
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:6a0620af70a047fa82b7a2ca66e19c5d
record_format	dspace
spelling	oai:doaj.org-article:6a0620af70a047fa82b7a2ca66e19c5d2021-12-02T01:29:17ZProstatectomy using different lasers for the treatment of benign prostate hyperplasia in aging males1178-1998https://doaj.org/article/6a0620af70a047fa82b7a2ca66e19c5d2013-11-01T00:00:00Zhttps://www.dovepress.com/prostatectomy-using-different-lasers-for-the-treatment-of-benign-prost-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Wei-Chang Lee,1,* Yu-Hsiang Lin,1,* Chen-Pang Hou,1 Phei-Lang Chang,1 Chien-Lun Chen,1 Horng-Heng Juang,2 Ke-Hung Tsui1 1Department of Urology, Chang Gung Memorial Hospital-Linko and Chang Gung University, College of Medicine, Taiwan, 2Department of Anatomy, College of Medicine, Chang Gung University, Kweishan-Shan, Taoyuan, Taiwan, Republic of China *These authors contributed equally to this work Purpose: Endoscopic lasers have become a treatment option for benign prostate hyperplasia (BPH). The study reported here sought to elucidate the benefits and drawbacks of different laser systems in the treatment of patients with BPH. Methods: The study enrolled 741 patients diagnosed with lower urinary tract symptoms secondary to BPH during the period January 2005 to December 2011. The techniques used in the study were photoselective vaporization of the prostate, thulium laser prostatectomy, and diode laser prostatectomy. Patients were assigned to one of three groups according to the type of laser treatment they received. Outcomes were evaluated using the International Prostate Symptom Score (IPSS), quality of life, maximal urinary flow rate, post-voiding residual urine volume, and prostate-specific antigen (PSA) level. Results: The baseline characteristics of patients who received diode laser prostatectomy show a significant elevated risk and high American Society of Anesthesiology score (P=0.001). Operative time and catheter removal time differed significantly between the three groups (P=0.001). No cases were converted to transurethral resection of the prostate intraoperatively due to bleeding (P=0.142). Among the three groups, there were no significant differences in maximal flow rate, lower post-void residual urine, and postoperative PSA level during the entire follow-up period (P<0.05). Further, no significant differences in postoperative IPSS, quality of life, or bladder neck contracture (P=0.23) were observed. However, a significant difference was observed with regard to prolonged use of Foley catheters and prolonged hospital stay among patients in the diode laser group (P=0.001). Conclusion: Laser prostatectomies are effective in dealing with lower urinary tract symptoms. Early subjective functional results (maximal flow rate, IPSS, and post-void residual urine) appeared the same as those obtained following laser prostatectomy. Thus, it appears that lasers are safe and effective as long as the patients are carefully selected for treatment. Keywords: prostate gland, laser prostatectomy, diode laser, thulium laser, photoselective vaporization of the prostateLee WCLin YHHou CPChang PLChen CLJuang HHTsui KHDove Medical Pressarticleprostate glandbenign prostatic hyperplasialaser prostatectomyGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 8, Pp 1483-1488 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	prostate gland benign prostatic hyperplasia laser prostatectomy Geriatrics RC952-954.6
spellingShingle	prostate gland benign prostatic hyperplasia laser prostatectomy Geriatrics RC952-954.6 Lee WC Lin YH Hou CP Chang PL Chen CL Juang HH Tsui KH Prostatectomy using different lasers for the treatment of benign prostate hyperplasia in aging males
description	Wei-Chang Lee,1,* Yu-Hsiang Lin,1,* Chen-Pang Hou,1 Phei-Lang Chang,1 Chien-Lun Chen,1 Horng-Heng Juang,2 Ke-Hung Tsui1 1Department of Urology, Chang Gung Memorial Hospital-Linko and Chang Gung University, College of Medicine, Taiwan, 2Department of Anatomy, College of Medicine, Chang Gung University, Kweishan-Shan, Taoyuan, Taiwan, Republic of China *These authors contributed equally to this work Purpose: Endoscopic lasers have become a treatment option for benign prostate hyperplasia (BPH). The study reported here sought to elucidate the benefits and drawbacks of different laser systems in the treatment of patients with BPH. Methods: The study enrolled 741 patients diagnosed with lower urinary tract symptoms secondary to BPH during the period January 2005 to December 2011. The techniques used in the study were photoselective vaporization of the prostate, thulium laser prostatectomy, and diode laser prostatectomy. Patients were assigned to one of three groups according to the type of laser treatment they received. Outcomes were evaluated using the International Prostate Symptom Score (IPSS), quality of life, maximal urinary flow rate, post-voiding residual urine volume, and prostate-specific antigen (PSA) level. Results: The baseline characteristics of patients who received diode laser prostatectomy show a significant elevated risk and high American Society of Anesthesiology score (P=0.001). Operative time and catheter removal time differed significantly between the three groups (P=0.001). No cases were converted to transurethral resection of the prostate intraoperatively due to bleeding (P=0.142). Among the three groups, there were no significant differences in maximal flow rate, lower post-void residual urine, and postoperative PSA level during the entire follow-up period (P<0.05). Further, no significant differences in postoperative IPSS, quality of life, or bladder neck contracture (P=0.23) were observed. However, a significant difference was observed with regard to prolonged use of Foley catheters and prolonged hospital stay among patients in the diode laser group (P=0.001). Conclusion: Laser prostatectomies are effective in dealing with lower urinary tract symptoms. Early subjective functional results (maximal flow rate, IPSS, and post-void residual urine) appeared the same as those obtained following laser prostatectomy. Thus, it appears that lasers are safe and effective as long as the patients are carefully selected for treatment. Keywords: prostate gland, laser prostatectomy, diode laser, thulium laser, photoselective vaporization of the prostate
format	article
author	Lee WC Lin YH Hou CP Chang PL Chen CL Juang HH Tsui KH
author_facet	Lee WC Lin YH Hou CP Chang PL Chen CL Juang HH Tsui KH
author_sort	Lee WC
title	Prostatectomy using different lasers for the treatment of benign prostate hyperplasia in aging males
title_short	Prostatectomy using different lasers for the treatment of benign prostate hyperplasia in aging males
title_full	Prostatectomy using different lasers for the treatment of benign prostate hyperplasia in aging males
title_fullStr	Prostatectomy using different lasers for the treatment of benign prostate hyperplasia in aging males
title_full_unstemmed	Prostatectomy using different lasers for the treatment of benign prostate hyperplasia in aging males
title_sort	prostatectomy using different lasers for the treatment of benign prostate hyperplasia in aging males
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/6a0620af70a047fa82b7a2ca66e19c5d
work_keys_str_mv	AT leewc prostatectomyusingdifferentlasersforthetreatmentofbenignprostatehyperplasiainagingmales AT linyh prostatectomyusingdifferentlasersforthetreatmentofbenignprostatehyperplasiainagingmales AT houcp prostatectomyusingdifferentlasersforthetreatmentofbenignprostatehyperplasiainagingmales AT changpl prostatectomyusingdifferentlasersforthetreatmentofbenignprostatehyperplasiainagingmales AT chencl prostatectomyusingdifferentlasersforthetreatmentofbenignprostatehyperplasiainagingmales AT juanghh prostatectomyusingdifferentlasersforthetreatmentofbenignprostatehyperplasiainagingmales AT tsuikh prostatectomyusingdifferentlasersforthetreatmentofbenignprostatehyperplasiainagingmales
_version_	1718403020983631872

Prostatectomy using different lasers for the treatment of benign prostate hyperplasia in aging males

Ejemplares similares