TUBVP and HOLEP: desirable surgical options for large benign prostatic hyperplasia ( >80 ml) / 中华男科学杂志
National Journal of Andrology
;
(12): 907-910, 2008.
Article
in Chinese
| WPRIM
| ID: wpr-309750
ABSTRACT
<p><b>OBJECTIVE</b>To compare the safety and efficacy of the two surgical alternatives, transurethral bipolar vaporization resection of the prostate (TUBVP) and holmium laser enucleation of the prostate (HOLEP), in the treatment of large benign prostatic hyperplasia (BPH).</p><p><b>METHODS</b>Retrospective analyses were made of 56 cases of large BPH ( >80 ml), 34 treated by TUBVP with the Bipolar Vaporization System (ACMI Medical Ltd, U.K.) at 160 W in cutting and 80 W in coagulation mode, and 22 by HOLEP with the Holmium Laser System (LUMNIS Ltd, US) at 100W. The safety and efficacy of the two approaches were assessed based on the operative and follow-up data.</p><p><b>RESULTS</b>Blood loss was significantly less in the HOLEP than in the TUBVP group ( P < 0.01), but the time of postoperative bladder irrigation and catheter indwelling was obviously shorter in the latter. IPSS, Qmax and Residual unine were markedly improved at 1 and 3 months after the surgery, with no statistically significant differences between the two groups.</p><p><b>CONCLUSION</b>Both TUBVP and HOLEP are safe and effective surgical options for the treatment of large BPH. Particularly the former, easier to be popularly applied, is promising to be a new "gold standard" in the surgical treatment of BPH.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pathology
/
Prostate
/
Prostatic Hyperplasia
/
General Surgery
/
Retrospective Studies
/
Transurethral Resection of Prostate
/
Therapeutic Uses
/
Lasers, Solid-State
/
Methods
Type of study:
Observational study
Limits:
Aged
/
Aged80
/
Humans
/
Male
Language:
Chinese
Journal:
National Journal of Andrology
Year:
2008
Type:
Article
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