Long-term results of thulium laser resection of the prostate: a prospective study at multiple centers

详细信息    查看全文

• 作者：Feng Sun ; Bangmin Han ; Di Cui ; Fujun Zhao ; Xiaowen Sun…
• 关键词：Thulium laser resection of the prostatectomy ; Benign prostatic hyperplasia ; Laser surgery
• 刊名：World Journal of Urology
• 出版年：2015
• 出版时间：April 2015
• 年：2015
• 卷：33
• 期：4
• 页码：503-508
• 全文大小：195 KB
• 参考文献：1. Oelke, M, Bachmann, A, Descazeaud, A, Emberton, M, Gravas, S, Michel, MC, N’Dow, J, Nordling, J, Rosette, JJ (2013) EAU Guidelines on the treatment and follow-up of non-neurogenic male lower urinary tract symptoms including benign prostatic obstruction. Eur Urol.
  2. Reich, O, Gratzke, C, Bachmann, A, Seitz, M, Schlenker, B, Hermanek, P, Lack, N, Stief, CG (2008) morbidity, mortality and early outcome of transurethral resection of the prostate: a prospective multicenter evaluation of 10,654 patients. J Urol 180: pp. 246-249 CrossRef
  3. Rassweiler J, Teber D, Kuntz R, Hofmann R (2006) Complications of transurethral resection of the prostate (TURP)–incidence, management, and prevention. Eur Urol 50(5):969-79. doi:10.1016/j.eururo.2005.12.042 (discussion 980)
  4. Reich, O, Gratzke, C, Stief, CG (2006) Techniques and long-term results of surgical procedures for BPH. Eur Urol 49: pp. 970-978 CrossRef
  5. Gravas, S, Bachmann, A, Reich, O, Roehrborn, CG, Gilling, PJ, Rosette, J (2011) Critical review of lasers in benign prostatic hyperplasia (BPH). BJU Int 107: pp. 1030-1043 CrossRef
  6. Bachmann, A, Woo, HH, Wyler, S (2012) Laser prostatectomy of lower urinary tract symptoms due to benign prostate enlargement. Curr Opin Urol 22: pp. 22-33 CrossRef
  7. Hoekstra, RJ, Melick, HHE, Kok, ET, Ruud Bosch, JLH (2010) A 10-year follow-up after transurethral resection of the prostate, contact laser prostatectomy and electrovaporization in men with benign prostatic hyperplasia; long-term results of a randomized controlled trial. BJU Int 106: pp. 822-826 CrossRef
  8. Xia, SJ, Zhang, YN, Lu, J, Sun, XW, Zhang, J, Zhu, YY, Li, WG (2005) Thulium laser resection of prostate-tangerine technique in treatment of benign prostate hyperplasia. Zhonghua Yi Xue Za Zhi 85: pp. 3225-3228
  9. Xia, S-J, Zhuo, J, Sun, X-W, Han, B-M, Shao, Y, Zhang, Y-N (2008) Thulium laser versus standard transurethral resection of the prostate: a randomized prospective trial. Eur Urol 53: pp. 382-390 CrossRef
  10. Fu, WJ, Zhang, X, Yang, Y, Hong, BF, Gao, JP, Cai, W, Zhang, P, Wang, XX (2010) Comparison of 2-μm continuous wave laser vaporesection of the prostate and transurethral resection of the prostate: a prospective nonrandomized trial with 1-year follow-up. Urology 75: pp. 194-199 CrossRef
  11. Peng, B, Wang, G-c, Zheng, J-h, Xia, S-q, Geng, J, Che, J-p, Yan, Y, Huang, J-h, Xu, Y-F, Yang, B (2012) A comparative study of thulium laser resection of the prostate and bipolar transurethral plasmakinetic prostatectomy for treating benign prostatic hyperplasia. BJU Int.
  12. Shu-Jie, X (2009) Two-micron (thulium) laser resection of the prostate-tangerine technique: a new method for BPH treatment. Asian J Androl 11: pp. 277-281 CrossRef
  13. Cui, D, Sun, F, Zhuo, J, Sun, X, Han, B, Zhao, F, Jing, Y, Lu, J, Xia, S (2013) A randomized trial comparing thulium laser resection to standard transurethral resection of the prostate for symptomatic benign prostatic hyperplasia: four-year follow-up results. World J Urol.
  14. Tasc?, AI, Ilbey, YO, Tugcu, V, Cicekler, O, Cevik, C, Zoroglu, F (2011) Transurethral resection of the prostate with monopolar resectoscope: single-surgeon experience and long-term results of after 3589 procedures. Urology 78: pp. 1151-1155 CrossRef
  15. Neyer, M, Reissigl, A, Schwab, C, Pointner, J, Abt, D, Bachmayer, C, Schmid, H-P, Engeler, DS (2013) Bipolar versus monopolar transurethral resection of the prostate: results of a comparative, prospective bicenter study—perioperative outcome and long-term efficacy. Urol Int 90: pp. 62-67 CrossRef
  16. Dindo, D, Demartines, N, Clavien, P-A (2004) Classification of surgical complicati
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Urology and Andrology
  Nephrology
  Oncology
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1433-8726

文摘

Purpose To evaluate the long-term durability and complication rates after thulium laser resection of prostate (TmLRP) through a prospective multiple-center study. Materials and methods From November 2004 to December 2011, we prospectively studied 2,216 patients with symptomatic benign prostatic hyperplasia (BPH) treated with thulium laser resection of the prostate at four medical centers. Patients were assessed on International Prostate Symptom Score (IPSS), quality of life (QoL), maximum urinary flow rate (Qmax), and postvoid residual urine (PVR). Perioperative complications were classified according to the modified Clavien classification system. Results Of 2,216 patients treated with TmLRP, 1,353 (61.1?%), 1,129 (50.9?%), 847 (38.2?%), and 541 (24.4?%) patients were followed at 5, 6, 7, and 8?years, respectively. Postoperatively, IPSS, QoL, Qmax, and PVR showed a significant improvement from 3?month after surgery and remained significantly improved during the entire follow-up period (p? Conclusions Thulium laser resection of the prostate is a safe and effective procedure with excellent durability in the treatment of symptomatic BPH.