Document Detail

Efficacy and safety of 120 w greenlight photoselective vaporisation of prostate in patients receiving anticoagulant drugs.
MedLine Citation:
PMID:  24397085     Owner:  NLM     Status:  In-Process    
OBJECTIVE: To evaluate the efficacy and safety of photoselective prostate vapourisation with 120 w potassium titanyl phosphate laser in benign prostate hyperplasia patients receiving oral anti-coagulant therapy.
METHODS: The retrospective study was conducted at Istanbul Hisar International Hosptial and comprised 63 male patients who were on anti-coagulant therapy for comorbidities and who underwent prostate vapourisation for benign prostate hyperplasia with 120 Watts potassium titanyl phosphate from November 2007 to December 2010. International Prostate Symptoms Score, Quality of Life scores, uroflowmetry pre-operatively and 3 months postoperatively were obtained. Ultrasound examination was performed for each patient to evaluate prostate and residual urine in the bladder. Plasma haemoglobin, haematocrit and International Normalised Ratio levels were also checked for patients in the pre- and post-operative period.
RESULTS: The age range of the patients was from 65-89 years with a mean of 72.3 +/- 8 years. The mean prostate weight was 45 +/-17 ml (range: 40-120). Mean operation time was 54 +/- 16 minutes (25-90). The removal of urinary catheter took place 1-3 days post-operatively. None of the patients required transfusion. The International Prostate Symptoms Score was reduced (23 +/- 6 vs. 14 +/- 3) at third month after the operation. Quality of Life scores were improved from 2.2 +/- 1.1 to 4.7 +/- 1.2, and maximal urine flow rate increased from 7.8 +/- 2.3 to 16 +/- 1 in the same period. Urinary obstruction due to clot retention was observed in 1 (1.58%) patient in post-operative 3 days. Urinary retention occurred in 5 (7.98%) patients after the removal of the urinary catheter. Permanent urinary retention, peroperative bleeding and post-operative incontinence were not observed.
CONCLUSION: Treatment of benign prostate hyperplasia with photoselective prostate vapourisation is effective and safe in patients receiving anti-coaguant therapy. However, patients should be monitored in early post-operative period for macroscopic haematuria and transient urinary retention.
Basri Cakiroglu; Ramazan Gözüküçük; Orhun Sinanoglu
Related Documents :
16400215 - Controversies in the management of acute pancreatits.
17906905 - Long-term follow-up after organ-preserving pancreatic head resection in patients with c...
24015125 - Comparative study of intrathecal hyperbaric versus isobaric ropivacaine: a randomized c...
23543415 - Patient-reported quality-of-life after radiofrequency ablation of varicose veins compar...
22105975 - Patella baja after unicompartmental knee arthroplasty.
3622395 - Treatment of pituitary dwarfism with authentic recombinant human growth hormone (sm-9500).
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  JPMA. The Journal of the Pakistan Medical Association     Volume:  63     ISSN:  0030-9982     ISO Abbreviation:  J Pak Med Assoc     Publication Date:  2013 Dec 
Date Detail:
Created Date:  2014-01-08     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7501162     Medline TA:  J Pak Med Assoc     Country:  Pakistan    
Other Details:
Languages:  eng     Pagination:  1464-7     Citation Subset:  IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Rectal carcinoma under 40 years of age: seven-year post-treatment follow-up at a tertiary care hospi...
Next Document:  The impact of caring for children with mental retardation on families as perceived by mothers in Kar...