Efficacy and safety of photoselective vaporization of the prostate in patients with prostatic obstruction induced by advanced prostate cancer.

Abstract

OBJECTIVE:

We evaluated the efficacy and outcome of laser photoselective vaporization of prostate (PVP) in patients with voiding difficulty due to prostatic obstruction induced by advanced prostate cancer (PC).

METHODS:

We retrospectively studied the records of 13 patients with advanced PC and prostatic obstruction with a mean prostate volume of 65.0 ml. All of the 13 patients received PVP between 2006 and 2010 due to the symptoms of voiding difficulty or acute urinary retention (AUR; N = 10) refractory to medical treatment. Perioperative safety and functional results were evaluated.

RESULTS:

Lasering time ranged from 24 to 20 minutes (mean 67 ± 26), during which 66-423 KJ (mean 172 ± 95) of laser energy was delivered. All patients could resume voiding function with a mean catheterization time of 3.0 days.

CONCLUSIONS:

Our preliminary results suggest that PVP is a safe and effective procedure for relieving prostatic obstruction without intraoperative blood transfusion, water intoxication, or other complications in patients with advanced prostate cancer.

• Authors: Yuan-Tso Cheng, Po-Hui Chiang, Yen-Ta Chen, Chun-Chien Hsu, Yao-Chi Chuang
• Journal: Asian journal of surgery (Asian J Surg) Vol. 34 Issue 3 Pg. 135-9 (Jul 2011) ISSN: 0219-3108 [Electronic] China
• PMID: 22208689 (Publication Type: Evaluation Study, Journal Article)
• Copyright: Copyright © 2011. Published by Elsevier B.V.

Topics

• Aged
• Aged, 80 and over
• Humans
• Laser Therapy
• Male
• Middle Aged
• Prostatectomy (methods)
• Prostatic Neoplasms (complications)
• Retrospective Studies
• Treatment Outcome
• Urinary Bladder Neck Obstruction (etiology, surgery)