Impact of prostate size on the outcome of transurethral laser evaporation of the prostate for benign prostatic hyperplasia

Urology
P NarayanA Toke

Abstract

The aim of this study was to evaluate efficacy and safety of transurethral evaporation of the prostate (TUEP) using neodymium:yttrium-aluminum-garnet (Nd:YAG) laser in prostate glands of various sizes. One hundred consecutive patients with benign prostatic hyperplasia (BPH) and prostate volumes less than 40 cc (group I, n = 41), 41 to 80 cc (group II, n = 39), and more than 80 cc (group III, n = 20), who had preoperative prostate volume estimation by transrectal ultrasound and had completed a minimum of 3 months' follow-up, underwent TUEP. At baseline, and at 3 and 6 months, American Urological Association (AUA) score, peak flow rate (PFR), postvoid residual urine (PVR), and complications, if any, were documented. There were no significant differences in failure rates, complications, or ability to improve symptom score, PFR, and PVR between patients with prostate glands of various sizes. The mean improvement in PFR at 6 months was: group I, 9.9 cc/s (116%); group II, 7.4 cc/s (81%); and group III, 9.2 cc/s (107%). Reduction in AUA score was: group I, 14.6 (63%); group II, 17.7 (71%); and group III, 16.2 (70%). PVR was: group I, 62.5 cc (51%); group II, 31.4 cc (16%), and group III, 71 cc (83%) (differences not significant). The...Continue Reading

Citations

Jun 27, 2002·Current Urology Reports·T A McNicholas, S Singh
Nov 19, 2003·Journal of Endourology·Andrew H H Tan, Peter J Gilling
Apr 2, 1999·Journal of Endourology·W B ShingletonJ E Fowler
Dec 22, 2006·Drugs·Sivaprakasam SivalingamHartwig Schwaibold
Oct 27, 2011·Expert Review of Medical Devices·Bilal Chughtai, Alexis Te

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