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High-Power Thulium Laser Vaporization of the Prostate: Short-term Outcomes of Safety and Effectiveness.
MedLine Citation:
PMID:  24936718     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Introduction: The thulium laser was introduced in 2005 for treatment of BPH. Enucleation studies from outside North America show comparable efficacy and lower morbidity to transurethral resection of the prostate. Very few studies exist describing outcomes of vaporization, the most commonly used technique for urologists. We present our three-month outcomes of thulium vaporization of the prostate (ThuVP). Materials and Methods: From December 2010 to October 2013, 68 men underwent ThuVP using the 150W CyberTM®. Data were collected on demographics, comorbidities, intraoperative measures, complications, serum parameters, maximum flow rate (Qmax), post-void residual (PVR), International Prostate Symptom Score (IPSS), quality of life score (QoL), and PSA. Patients were evaluated at 1 week, 1 month, and 3 months postoperatively. 9 patients were excluded for known prostate cancer. Results: Mean age was 66 ± 10 years with mean prostate size 57 ± 30 mL At baseline, mean IPSS was 19.9 ± 8.0, QoL score was 4.5 ± 1.1, Qmax was 5.2 ± 4.5 mL/sec, and PVR was 220 ± 397mL. Mean laser time was 35 ± 18 minutes, and energy used was 234 ± 139 kJ. 47 (78%) patients were discharged the day of surgery. No blood transfusions were administered with mean drop in hemoglobin 0.7 ± 0.8 g/dL (p < 0.05). There were no Clavien grade ≥ III complications within 30 days of surgery. Six (10%) patients were diagnosed with UTI. Significant improvements from baseline were seen in Qmax, PVR, IPSS, and QoL score. All 15 patients who were in retention were voiding at last follow-up. Conclusions: Thulium laser vaporization of the prostate appears to be a safe and effective outpatient technique for treatment of BPH with durable outcomes at 3 months.
Authors:
Joseph J Pariser; Olufenwa J Famakinwa; Shane M Pearce; Doreen E Chung
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-6-17
Journal Detail:
Title:  Journal of endourology / Endourological Society     Volume:  -     ISSN:  1557-900X     ISO Abbreviation:  J. Endourol.     Publication Date:  2014 Jun 
Date Detail:
Created Date:  2014-6-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8807503     Medline TA:  J Endourol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
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