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Interstitial laser coagulation treatment of benign prostatic hyperplasia: is it to be recommended?
- Source :
-
Journal of endourology [J Endourol] 2003 Oct; Vol. 17 (8), pp. 595-600. - Publication Year :
- 2003
-
Abstract
- Purpose: To update the clinical data on the treatment of benign prostatic hyperplasia (BPH) by interstitial laser coagulation (ILC).<br />Material and Methods: In addition to recent review articles, original papers published during the last 2 years were surveyed. The focus was on prospective, particularly randomized, trials and on those with long-term follow-up.<br />Results: Interstitial laser coagulation is feasible, although considerable variability is observed in the results. Operative complications are minimal, but the postoperative catheterization time is relatively long. Irritative symptoms can last for a long time, and the rate of urinary infections is as high as 35%. There also is significant variability in the urodynamic results. The technique seems to be more effective in patients with mild bladder outlet obstruction at baseline. The retreatment rate at 1 year is as high as 15%, and higher rates, as much as 40%, are described at 3 years. When compared in a randomized fashion with transurethral resection of the prostate (TURP), the postoperative period is shorter after TURP and the retreatment rate (early and late) is higher after ILC.<br />Conclusions: Interstitial laser coagulation is superior to TURP in terms of operative morbidity, but postoperative morbidity is higher after ILC. Long-term durability has not been properly documented, and randomized studies show a higher retreatment rate after ILC than after TURP. The technique is recommended for those patients with bleeding disorders necessitating an interventional therapy.
Details
- Language :
- English
- ISSN :
- 0892-7790
- Volume :
- 17
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- Journal of endourology
- Publication Type :
- Academic Journal
- Accession number :
- 14622478
- Full Text :
- https://doi.org/10.1089/089277903322518590