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Surgical outcomes of low-power thulium laser enucleation of prostates >80 g. One-year of follow-up.
- Source :
-
Central European journal of urology [Cent European J Urol] 2023; Vol. 76 (3), pp. 193-198. Date of Electronic Publication: 2023 Jul 12. - Publication Year :
- 2023
-
Abstract
- Introduction: The aim of this study was to assess the effectiveness of low-power thulium (30 W) and the duration necessary to eliminate adenomas at the level of the surgical capsule, as well as its impact on postoperative urinary and sexual function.<br />Material and Methods: Patients with symptomatic benign prostatic hyperplasia (BPH), who had ThuLEP between December 2019 and March 2022 and had a prostate size >80 mL and had not responded to the medication therapy, were included. The prostate size, prostate-specific antigen (PSA), enucleation and morcellation times, postoperative International Prostate Symptom Score (IPSS), and International Index of Erectile Function-5 (IEFF-5) records at 1, 3, 6, and 12 months were among the information gathered.<br />Results: The average age of the 80 patients who received ThuLEP was 66.7 ±6.4 years, with a mean prostate volume of 112.65 ±19.3 mL. The mean duration for enucleation was 71 ±11 min. At the initial follow-up after one month, the mean IPSS was 8.012 ±1.78 mL and the mean Q <subscript>max</subscript> enhancement was 30.16 ±4 mL s <superscript>-1</superscript> . In contrast to baseline, our findings demonstrated a substantial improvement in postoperative urgency and urgency urinary incontinence (UUI) (p = 0.005) but no meaningful variation in IIEF-5 score at the 12-month follow-up.<br />Conclusions: Low-power ThuLEP is worthwhile for therapeutic use because it effectively treats patients with large prostates with satisfactory urinary and sexual effects.Clinical trials .gov ID: NCT05494944.<br />Competing Interests: The authors declare no conflicts of interest.<br /> (Copyright by Polish Urological Association.)
Details
- Language :
- English
- ISSN :
- 2080-4806
- Volume :
- 76
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Central European journal of urology
- Publication Type :
- Academic Journal
- Accession number :
- 38045774
- Full Text :
- https://doi.org/10.5173/ceju.2023.50