Abstract | CONTEXT: AIMS: To study the efficacy of thulium laser enucleation of the prostate (ThuLEP). SETTINGS AND DESIGN: All patients in the stipulated period were documented for all parameters and were evaluated. The results were tabulated. SUBJECTS AND MATERIALS: (1) Two hundred and thirty-six patients with symptomatic BPH were treated with ThuLEP between March 2010 and September 2014 at our institute by a single surgeon. (2) The inclusion criteria were maximum urinary flow rate (Qmax) <15 ml/s, International Prostate Symptoms Score (IPSS) >15 or acute retention of urine with the failure of catheter trial or Acute retention of urine with prior history of severe bladder outlet obstruction. (3) Patients evaluated by: Digital rectal examination, uroflowmetry, IPSS, prostate-specific antigen (PSA), blood and urine routine tests, abdominal usage with trains rectal ultrasonography (TRUS), TRUS guided biopsies. STATISTICAL ANALYSIS USED: Not used. RESULTS: (1) ThuLEP was a highly effective procedure as compared to all other procedures like HOLEP, TURP in terms of catheterization time, hospital stay, and drop in hemoglobin (Hb). (2) Catheterization time: 25.22 h (224 patients within 24 h and 12 patients within 48 h). (3) Hospital stay: 24-36 h 218 patients (92.3%), 36-48 h 18 patients (7.6%). (4) Drop in Hb: 0.8 ± 0.42 g/dl. (5) Average operative time: 56.91 min. CONCLUSIONS:
Thulium LASER is a safe and highly effective LASER in terms of blood loss, speed of tissue resection, drop in serum PSA, and versatility of prostatic resection.
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Authors | P Vartak Ketan, H Salvi Prashant |
Journal | Urology annals
(Urol Ann)
2016 Jan-Mar
Vol. 8
Issue 1
Pg. 76-80
ISSN: 0974-7796 [Print] India |
PMID | 26834407
(Publication Type: Journal Article)
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