Transurethral diode laser enucleation versus transurethral electrovaporization resection of the prostate for benign prostatic hyperplasia with different prostate volumes / 中华男科学杂志
National Journal of Andrology
; (12): 217-222, 2017.
Article
Dans Zh
| WPRIM
| ID: wpr-812783
Responsable en Bibliothèque :
WPRO
ABSTRACT
Objective@#To compare the clinical effect of diode laser enucleation of the prostate (DIOD) with that of transurethral resection of the prostate (TURP) on benign prostate hyperplasia (BPH) with different prostate volumes.@*METHODS@#This retrospective study included 256 BPH patients treated by DIOD (n = 141) or TURP (n = 115) from March 2012 to August 2015. According to the prostate volume, we divided the patients into three groups: 80 ml (48 for DIOD and 39 for TURP). We obtained the relevant data from the patients before, during and at 6 months after surgery, and compared the two surgical strategies in operation time, perioperative levels of hemoglobin and sodium ion, post-operative urethral catheterization time and bladder irrigation time, pre- and post-operative serum PSA levels, International Prostate Symptoms Score (IPSS), post-void residual urine (PVR) volume and maximum urinary flow rate (Qmax), and incidence of post-operative complications among different groups.@*RESULTS@#In the 80 ml group ([3.35 ± 1.39] ng/ml vs [1.76 ± 0.91] ng/ml, P <0.05). No blood transfusion was necessitated and nor postoperative transurethral resection syndrome or urethral stricture observed in DIOD. However, the incidence rate of postoperative pseudo-urinary incontinence was significantly higher in the DIOD (22.7%, 32/141) than in the TURP group (7.83%, 9/115) (P <0.05).@*CONCLUSIONS@#DIOD, with its obvious advantages of less blood loss, higher safety, faster recovery, and more definite short-term effectiveness, is better than TURP in the treatment of BPH with medium or large prostate volume and similar to the latter with small prostate volume.
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Taille d'organe
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Anatomopathologie
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Complications postopératoires
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Prostate
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Hyperplasie de la prostate
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Qualité de vie
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Chirurgie générale
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Sténose de l'urètre
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Incontinence urinaire
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Cathétérisme urinaire
Type d'étude:
Observational_studies
Limites du sujet:
Humans
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Male
langue:
Zh
Texte intégral:
National Journal of Andrology
Année:
2017
Type:
Article