The safety and efficacy of aspirin intake in photoselective vaporization laser treatment of benign prostate hyperplasia
I-Hung Shao,1,* Chen-Pang Hou,1,* Shao-Ming Chen,3 Chien-Lun Chen,1,2 Yu-Hsiang Lin,1 Phei-Lang Chang,1,2 Ke-Hung Tsui1,2 1Department of Urology, 2Bioinformation Center, Chang Gung Memorial Hospital-Linko and Chang Gung University College of Medicine, 3Department of Urology, Taipei City Hospital, He...
Guardado en:
Autores principales: | , , , , , , |
---|---|
Formato: | article |
Lenguaje: | EN |
Publicado: |
Dove Medical Press
2013
|
Materias: | |
Acceso en línea: | https://doaj.org/article/d97d518c17984bbbbd31a8d5c4b9eedf |
Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
id |
oai:doaj.org-article:d97d518c17984bbbbd31a8d5c4b9eedf |
---|---|
record_format |
dspace |
spelling |
oai:doaj.org-article:d97d518c17984bbbbd31a8d5c4b9eedf2021-12-02T00:12:05ZThe safety and efficacy of aspirin intake in photoselective vaporization laser treatment of benign prostate hyperplasia1178-1998https://doaj.org/article/d97d518c17984bbbbd31a8d5c4b9eedf2013-03-01T00:00:00Zhttps://www.dovepress.com/the-safety-and-efficacy-of-aspirin-intake-in-photoselective-vaporizati-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998I-Hung Shao,1,* Chen-Pang Hou,1,* Shao-Ming Chen,3 Chien-Lun Chen,1,2 Yu-Hsiang Lin,1 Phei-Lang Chang,1,2 Ke-Hung Tsui1,2 1Department of Urology, 2Bioinformation Center, Chang Gung Memorial Hospital-Linko and Chang Gung University College of Medicine, 3Department of Urology, Taipei City Hospital, Heping Campus, Taipei, Taiwan, People's Republic of China *These authors contributed equally to this work Abstract: Endoscopic surgical treatment has become an option to treat benign prostate hyperplasia. We evaluated the safety and effectiveness of photoselective vaporization of the prostate (PVP) in patients. We evaluated preoperative and perioperative parameters, functional outcomes, and adverse events up to 12 months postoperatively of patients on oral anticoagulation therapy undergoing PVP, and compared the results with patients who did not take anticoagulation therapy. A total of 89 patients who received photoselective vaporization laser for benign prostate hyperplasia from May 2006 to February 2011 in our hospital were enrolled in our study. The patients were divided into two groups based on whether or not they were taking oral aspirin; 23 (25.8%) patients were taking aspirin derivatives (aspirin group), and 66 (74.2%) were not taking aspirin derivatives (control group). The mean prostate volume (58.8 mL vs 51 mL; P = 0.16) and mean energy consumption (235,268 J vs 289,793 J; P = 0.097) were comparable between the aspirin group and control group. The average postoperative results of hemoglobin were 13.4 mg/dL for the aspirin group versus 13.9 mg/dL for the control group (P = 0.327). A significantly higher maximum flow rates and 80% improved post-void residual urine were noted during the followup. Postoperatively all variable showed significant improvement starting at month 1 of followup and remained improved for the 12 month followup. Postoperative complications were low and comparable between groups. PVP was characterized by excellent hemostatic properties and a very low intraoperative complication rate, even in the patients who were taking aspirin. On the basis of our perioperative results, we recommend PVP as a safe and effective procedure for patients with symptomatic benign prostate hyperplasia when taking an aspirin derivative. Keywords: prostate gland, benign prostatic hyperplasia, laser, elderly, green light laser Corrigendum for this paper has been publishedShao IHHou CPChen SMChen CLLin YHChang PLTsui KHDove Medical Pressarticleprostate glandbenign prostatic hyperplasialaserelderlygreen light laserGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 8, Pp 265-269 (2013) |
institution |
DOAJ |
collection |
DOAJ |
language |
EN |
topic |
prostate gland benign prostatic hyperplasia laser elderly green light laser Geriatrics RC952-954.6 |
spellingShingle |
prostate gland benign prostatic hyperplasia laser elderly green light laser Geriatrics RC952-954.6 Shao IH Hou CP Chen SM Chen CL Lin YH Chang PL Tsui KH The safety and efficacy of aspirin intake in photoselective vaporization laser treatment of benign prostate hyperplasia |
description |
I-Hung Shao,1,* Chen-Pang Hou,1,* Shao-Ming Chen,3 Chien-Lun Chen,1,2 Yu-Hsiang Lin,1 Phei-Lang Chang,1,2 Ke-Hung Tsui1,2 1Department of Urology, 2Bioinformation Center, Chang Gung Memorial Hospital-Linko and Chang Gung University College of Medicine, 3Department of Urology, Taipei City Hospital, Heping Campus, Taipei, Taiwan, People's Republic of China *These authors contributed equally to this work Abstract: Endoscopic surgical treatment has become an option to treat benign prostate hyperplasia. We evaluated the safety and effectiveness of photoselective vaporization of the prostate (PVP) in patients. We evaluated preoperative and perioperative parameters, functional outcomes, and adverse events up to 12 months postoperatively of patients on oral anticoagulation therapy undergoing PVP, and compared the results with patients who did not take anticoagulation therapy. A total of 89 patients who received photoselective vaporization laser for benign prostate hyperplasia from May 2006 to February 2011 in our hospital were enrolled in our study. The patients were divided into two groups based on whether or not they were taking oral aspirin; 23 (25.8%) patients were taking aspirin derivatives (aspirin group), and 66 (74.2%) were not taking aspirin derivatives (control group). The mean prostate volume (58.8 mL vs 51 mL; P = 0.16) and mean energy consumption (235,268 J vs 289,793 J; P = 0.097) were comparable between the aspirin group and control group. The average postoperative results of hemoglobin were 13.4 mg/dL for the aspirin group versus 13.9 mg/dL for the control group (P = 0.327). A significantly higher maximum flow rates and 80% improved post-void residual urine were noted during the followup. Postoperatively all variable showed significant improvement starting at month 1 of followup and remained improved for the 12 month followup. Postoperative complications were low and comparable between groups. PVP was characterized by excellent hemostatic properties and a very low intraoperative complication rate, even in the patients who were taking aspirin. On the basis of our perioperative results, we recommend PVP as a safe and effective procedure for patients with symptomatic benign prostate hyperplasia when taking an aspirin derivative. Keywords: prostate gland, benign prostatic hyperplasia, laser, elderly, green light laser Corrigendum for this paper has been published |
format |
article |
author |
Shao IH Hou CP Chen SM Chen CL Lin YH Chang PL Tsui KH |
author_facet |
Shao IH Hou CP Chen SM Chen CL Lin YH Chang PL Tsui KH |
author_sort |
Shao IH |
title |
The safety and efficacy of aspirin intake in photoselective vaporization laser treatment of benign prostate hyperplasia |
title_short |
The safety and efficacy of aspirin intake in photoselective vaporization laser treatment of benign prostate hyperplasia |
title_full |
The safety and efficacy of aspirin intake in photoselective vaporization laser treatment of benign prostate hyperplasia |
title_fullStr |
The safety and efficacy of aspirin intake in photoselective vaporization laser treatment of benign prostate hyperplasia |
title_full_unstemmed |
The safety and efficacy of aspirin intake in photoselective vaporization laser treatment of benign prostate hyperplasia |
title_sort |
safety and efficacy of aspirin intake in photoselective vaporization laser treatment of benign prostate hyperplasia |
publisher |
Dove Medical Press |
publishDate |
2013 |
url |
https://doaj.org/article/d97d518c17984bbbbd31a8d5c4b9eedf |
work_keys_str_mv |
AT shaoih thesafetyandefficacyofaspirinintakeinphotoselectivevaporizationlasertreatmentofbenignprostatehyperplasia AT houcp thesafetyandefficacyofaspirinintakeinphotoselectivevaporizationlasertreatmentofbenignprostatehyperplasia AT chensm thesafetyandefficacyofaspirinintakeinphotoselectivevaporizationlasertreatmentofbenignprostatehyperplasia AT chencl thesafetyandefficacyofaspirinintakeinphotoselectivevaporizationlasertreatmentofbenignprostatehyperplasia AT linyh thesafetyandefficacyofaspirinintakeinphotoselectivevaporizationlasertreatmentofbenignprostatehyperplasia AT changpl thesafetyandefficacyofaspirinintakeinphotoselectivevaporizationlasertreatmentofbenignprostatehyperplasia AT tsuikh thesafetyandefficacyofaspirinintakeinphotoselectivevaporizationlasertreatmentofbenignprostatehyperplasia AT shaoih safetyandefficacyofaspirinintakeinphotoselectivevaporizationlasertreatmentofbenignprostatehyperplasia AT houcp safetyandefficacyofaspirinintakeinphotoselectivevaporizationlasertreatmentofbenignprostatehyperplasia AT chensm safetyandefficacyofaspirinintakeinphotoselectivevaporizationlasertreatmentofbenignprostatehyperplasia AT chencl safetyandefficacyofaspirinintakeinphotoselectivevaporizationlasertreatmentofbenignprostatehyperplasia AT linyh safetyandefficacyofaspirinintakeinphotoselectivevaporizationlasertreatmentofbenignprostatehyperplasia AT changpl safetyandefficacyofaspirinintakeinphotoselectivevaporizationlasertreatmentofbenignprostatehyperplasia AT tsuikh safetyandefficacyofaspirinintakeinphotoselectivevaporizationlasertreatmentofbenignprostatehyperplasia |
_version_ |
1718403894933979136 |