Benign prostatic hyperplasia: five year follow-up in patients who underwent contact laser vaporization

To determine the long-term efficacy and complications of contact laser prostatectomy in the treatment of the benign prostatic hyperplasia (BPH). 32 patients in a prospective clinical trial of contact laser prostatectomy were followed for 5 years. Patients were assessed by physical examination, Inter...

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Published inArchivos españoles de urología Vol. 57; no. 2; pp. 131 - 134
Main Authors Vela Navarrete, Remigio, García Cardoso, Juan Vicente, Calahorra Fernández, Francisco Javier, Rodríguez Miñón, José Luis, Cabrera Pérez, Javier, González Enguita, Carmen
Format Journal Article
LanguageSpanish
Published Spain 01.03.2004
Subjects
Aged
Follow-Up Studies
Humans
Laser Therapy - instrumentation
Male
Prospective Studies
Prostatic Hyperplasia - surgery
Time Factors
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Summary:To determine the long-term efficacy and complications of contact laser prostatectomy in the treatment of the benign prostatic hyperplasia (BPH). 32 patients in a prospective clinical trial of contact laser prostatectomy were followed for 5 years. Patients were assessed by physical examination, International Prostate Symptom Score (IPSS), uroflowmetry, post void residual urine, transrectal ultrasound and PSA. From the initial cohort, three patients had died from concomitant diseases. Three patients (9%) had undergone reoperation (TURP). Seven Patients (22%) received alpha blockers for irritative symptoms. IPSS and maximum flow improved significantly and remained stable at five years. There were not statistically significant differences in prostate volume or PSA level. Contact laser prostatectomy is a safe and effective treatment for BPH in the long-term. It has minimal morbidity and durable therapeutic effects. Nevertheless, in our experience postoperative irritative voiding symptoms (22%) are the major disadvantage.
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ISSN:0004-0614