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
de Zh
| WPRIM
| ID: wpr-309750
Bibliothèque responsable:
WPRO
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>
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Anatomopathologie
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Prostate
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Hyperplasie de la prostate
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Chirurgie générale
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Études rétrospectives
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Résection transuréthrale de prostate
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Utilisations thérapeutiques
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Lasers à solide
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Méthodes
Type d'étude:
Observational_studies
Limites du sujet:
Aged
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Aged80
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Humans
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Male
langue:
Zh
Texte intégral:
National Journal of Andrology
Année:
2008
Type:
Article