Hofmeester I.,Ziekenhuis Groep Twente Almelo |
Roelink J.H.,Ziekenhuis Groep Twente Almelo |
Molijn G.J.,Ziekenhuis Groep Twente Almelo |
Van Balen O.L.W.B.,Ziekenhuis Groep Twente Almelo |
Dijkema H.E.,Ziekenhuis Groep Twente Almelo
Tijdschrift voor Urologie | Year: 2014
Introduction: The golden standard for treatment of Lower urinary tract symptoms (LUTS) due to benign prostate hyperplasia (BPH) still is electrosurgical, trans urethral resection of the prostate (TURP). However, photoselective vaporization of the prostate (PVP) is a promising new technique. We present the results of patients treated with the 120 watt High Performance System (HPS) GreenLight Laser, including patients with a prostate size of 80 ml or more. Methods: 221 patient with LUTS due to BPH were treated by laser vaporization. Of these, 23 patients with a prostate of 80 ml or more were followed for at least six months. The preoperative situation was determined by the International Prostate Symptom Score (IPSS) as well of the Quality of Life (QoL) score, uroflowmetry, residual volume, prostate volume and PSA. Six weeks, six and 18 months postoperatively, IPSS, uroflowmetry and residual volume were measured again. After six months, prostate volume and PSA were determined as well. Results: Average age was 69 years (range 44-97). Average hospitalization two days (range 1-12), operating time 61 minutes (range 19-180), lasing time 31 minutes (range 6-124), energy used per operation 197 kJ (range 0,2-692). After 18 months, Qmax was 19 ml/sec (range 9,4-39). IPSS decreased on average with 14,2 points 18 months postoperatively. Operation characteristics prostate volume 80 ml or more: average hospitalization two days (range 2-5), operating time 96 minutes (range 35-180), lasing time 56 minutes (range 6-114), energy used per operation 361 kJ (range 61-692). Conclusion: Vaporization of the prostate in patients with LUTS due to BPH seems to be effective after 18 months, also considering large prostates. © 2014 Bohn Stafleu van Loghum.