Efficacy and safety of holmium laser enucleation of the prostate for extremely large prostatic adenoma in patients with benign prostatic hyperplasia
Korean Journal of Urology
;
: 218-226, 2015.
Article
Dans Anglais
| WPRIM
| ID: wpr-60931
ABSTRACT
PURPOSE:
To evaluate the efficacy and safety of holmium laser enucleation of the prostate (HoLEP) for extremely large prostates. MATERIALS ANDMETHODS:
Patients undergoing HoLEP between July 2008 and December 2013 from the Seoul National University Hospital Benign Prostatic Hyperplasia Database Registry were retrospectively analyzed. The patients were divided into three groups according to their total prostate volume (TPV) group A (TPV or =200 mL); the clinical data of the three groups were compared. All patients were followed up 2 weeks, 3 months, and 6 months after surgery.RESULTS:
A total of 502 patients (group A, 426; group B, 70; group C, 6) with a mean age of 69.0 (standard deviation, +/-7.3) years were included in our analysis. The mean prostate volume and prostate-specific antigen level were 68.7+/-36.9 mL and 4.15+/-4.24 ng/mL, respectively. The enucleation and morcellation times were longer in group C (p<0.001), and the enucleation efficacy was higher in this group (p<0.001, R2=0.399). Moreover, the mean postoperative catheterization and hospitalization periods were significantly longer in group C (p=0.004 and p=0.011, respectively). However, there were no significant differences between the groups in any other postoperative events, including recatheterization, reoperation, urinary tract infection, clot retention, and bladder neck contracture (p range, 0.516-0.913). One patient in group C experienced recurrence of the urethral stricture.CONCLUSIONS:
HoLEP in patients with an extremely large prostate can be performed efficiently and safely.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Taille d'organe
/
Complications postopératoires
/
Prostate
/
Hyperplasie de la prostate
/
Qualité de vie
/
Études rétrospectives
/
Résultat thérapeutique
/
Antigène spécifique de la prostate
/
Résection transuréthrale de prostate
/
Thérapie laser
Type d'étude:
Étude observationnelle
Limites du sujet:
Adulte très âgé
/
Aged80
/
Humains
/
Mâle
Pays comme sujet:
Asie
langue:
Anglais
Texte intégral:
Korean Journal of Urology
Année:
2015
Type:
Article
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