Document Detail


Photoselective vaporization of the prostate using the 120-W lithium triborate laser in enlarged prostates (>120 cc).
MedLine Citation:
PMID:  21105987     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
PATIENTS AND METHODS: •  Prospective database of 288 men treated with PVP from November 2006-2009 •  33 men identified to have transrectal ultrasound measured prostate size >120 cc •  All but 9 men not in urinary retention or on anticoagulant medications •  Average ASA Score 2.25 (range 1-4) with 11 having an ASA Score of 3 or more
RESULTS: •  Mean operating time and laser time 109 and 86 minutes respectively •  IPSS, QoL and Qmax changes from baseline to 3 months for those not in retention were 24 to 8.6, 5.0 to 1.8 and 7.5 mL/s to 19.6 mL/s respectively •  Post void residual in these men fell from a mean of 235 mL to 88 mL •  Average fall in PSA was 38% for 22 men with paired PSA data •  Post operative urinary retention in 4 men resolved. 2 late onset clot urinary retention
CONCLUSION: •  Early results demonstrate PVP to be safe and efficacious on early follow up in a high risk group of patients with significantly enlarged prostates, anticoagulation and urinary retention.
Authors:
Henry H Woo
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Publication Detail:
Type:  Journal Article     Date:  2010-11-24
Journal Detail:
Title:  BJU international     Volume:  108     ISSN:  1464-410X     ISO Abbreviation:  BJU Int.     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-09-02     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100886721     Medline TA:  BJU Int     Country:  England    
Other Details:
Languages:  eng     Pagination:  860-3     Citation Subset:  IM    
Copyright Information:
© 2010 THE AUTHOR. BJU INTERNATIONAL © 2010 BJU INTERNATIONAL.
Affiliation:
Sydney Medical School, Sydney Adventist Hospital, University of Sydney, Sydney, Australia.
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