Abstract | OBJECTIVES: METHODS: A total of 153 consecutive patients with symptomatic BPH were included; 79 patients were treated with PVP and 74 with CVP. Patients were assessed preoperatively and at 3, 6, and 12 months postoperatively using the International Prostate Symptom Score, quality of life index, peak urinary flow rate, and postvoid residual urine volume. All perioperative and postoperative complications were noted. RESULTS: There were significant and comparable improvements in each of the outcome variables over a follow-up period of 12 months in both groups. The mean operation/vaporization duration (minutes) was comparable at 74/38 (PVP) and 76/34 (CVP), whereas the mean applied laser energy was significantly higher with CVP than with PVP at 260 vs 195 (kJ), respectively. The mean vaporization rate (mL/min) was not significantly different between the two groups (0.53 PVP vs 0.56 CVP). Immediately after surgery, the rate of recatheterization for urinary retention was significantly higher with CVP than with PVP (17.6% vs 6.8%; P < 0.05). CONCLUSIONS: Both laser systems provided comparable improvement in the subjective and objective parameters with excellent hemostatic properties. Although our results suggest that both procedures are useful treatment choices, further follow-up is needed to draw definitive conclusions regarding the most ideal laser for treating patients with symptomatic BPH.
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Authors | Takeshi Kobayashi, Narihito Seki, Yoo H Song, Takashi Dejima |
Journal | Lower urinary tract symptoms
(Low Urin Tract Symptoms)
Vol. 13
Issue 1
Pg. 31-37
(Jan 2021)
ISSN: 1757-5672 [Electronic] Australia |
PMID | 32515894
(Publication Type: Comparative Study, Journal Article, Randomized Controlled Trial)
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Copyright | © 2020 John Wiley & Sons Australia, Ltd. |
Topics |
- Aged
- Aged, 80 and over
- Humans
- Japan
- Lasers, Semiconductor
(adverse effects, therapeutic use)
- Lasers, Solid-State
(adverse effects, therapeutic use)
- Male
- Middle Aged
- Prostate
(surgery)
- Prostatic Hyperplasia
(surgery)
- Treatment Outcome
|