Abstract | OBJECTIVE: MATERIALS AND METHODS: A total of 303 patients were treated with the neodymium: YAG laser system for 1993 to 1997, of whom 57 patients were followed up for at least 3 years. All of the patients have been evaluated after 3 months, 6 months and 2 years. 57 patients were evaluated after 3 years. Pre- and postoperative American Urological Association (AUA) symptom score, uroflowmetry (UF), and immediate and long-term complications were assessed. RESULTS: The mean AUA symptom scores of 303 patients decreased over the 24 months follow-up from 16.9 to 7.6. In 57 patients after 36 months the mean AUA symptom score was 7.1. The mean maximal UF increased over the 24 months from 9 to 14.1 cm3/s in 303 patients. In 57 patients at 3 years the mean UF was 13. 9 cm3/s. The overall complications of 303 patients included two perforations of the bladder wall and two perforations of the prostatic capsule. Six (1.9%) patients had postoperative febrile UTI and 28 (9.2%) patients had acute urinary retention after catheter removal. Early bleeding occurred in 3 (0.9%) patients, late bleeding in 8 (2.4%), 4 (1.2%) had urethral stricture, and 1 had stricture of the bladder neck. The overall reoperation rate for symptomatic residual tissue was 1.9% (6 patients). CONCLUSION:
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Authors | B Chertin, E Z Moriel, I Hadas-Halperin, W Abu-Arafeh, S Lupa, M Zilberman, A Farkas |
Journal | European urology
(Eur Urol)
Vol. 35
Issue 4
Pg. 285-8
(Apr 1999)
ISSN: 0302-2838 [Print] Switzerland |
PMID | 10087389
(Publication Type: Journal Article)
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Topics |
- Aged
- Aged, 80 and over
- Follow-Up Studies
- Humans
- Laser Therapy
- Male
- Middle Aged
- Postoperative Complications
- Prostatectomy
(methods)
- Prostatic Hyperplasia
(complications, surgery)
- Retrospective Studies
- Surveys and Questionnaires
- Treatment Outcome
- Urinary Bladder Neck Obstruction
(etiology, surgery)
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