Pilot experience in application of a laser device Urobeam in the treatment of patients with prostatic adenoma in Kazakhstan


Cite item

Full Text

Abstract

The study included 54 patients with prostatic adenoma exposed to laser photoselective vaporization using Urobeam device. Before vaporization the patients had marked infravesical obstruction, Qmax - under 5 ml/c, PVR > 200 ml, IPSS > 20 points, size of the prostate by transrectal ultrasound investigation - over 80 cm3. Moreover, 63% patients received anticoagulants. The results of the study show that Urobeam vaporization improves such parameters as IPSS score, Qmax, prostatic size in minimal number of complications. Thus, Urobeam laser photoselective vaporization is an effective treatment of prostatic adenoma, it provides fast upgrading of quality of life of prostatic adenoma patients.

References

  1. Gilling P., Cass C., Cresswell M. et al. Urology 1996; 47(1): 48- 51.
  2. Moody J. A., Lingeman J. E. Holium laser enucleation for prostate adenoma greater than 100 gm.: comparison to open prostatectomy. J. Urol. (Baltimore) 2001; 165: 459-462.
  3. Gilling P. J., Fraundorfer M. R. Holmium laser prostatectomy: a technique in evolution. Curr. Opin. Urol. 1998; 8: 11-15.
  4. McAllister W. J., Gilling P. J. Vaporization of the prostate. Curr. Opin. Urol. 2004; 14: 31-34.
  5. Te A. E. The development of laser prostatectomy. B. J. Urol. Int. 2004; 93: 262-265.
  6. Reich O., Bachmann A., Siebels M. et al. High power (80 W) potassium-titanyl-phosphate laser vaporization of the prostate in 66 high risk patients. J. Urol. (Baltimore) 2005; 173: 158- 160.
  7. Bachmann A., Ruszat R., Wyler S. et al. Photoselective vaporization of the prostate: the Basel experience after 108 procedures. Eur. Urol. 2005; 47: 798-804.
  8. Boudier-Hayes D. M., Andetson P., van Appledorn S. et al. A randomized trial comparing photo-vaporization and transurethral resection of the prostate in patients with BPH. J. Urol. (Baltimore) 2005; 173: 421.
  9. Sulser T., Schurch L., Ruszat R. et al. Prospective comparison of photoselective laser vaporization (PVP) and transurethral resection of the prostate (TURP). J. Urol. (Baltimore) 2005; 173: 422.
  10. Malloy T., Sandhu J., Smith A. Photoselective vaporization of the prostate (PVP) in anticoagulated patients: a multicenter retrospective evaluation of feasibility. J. Urol. (Baltimore) 2005; 173: 423.
  11. Sulser T., Reich O., Wyler S. et al. Photoselective KTP laser vaporization of the prostate: first experiences with 65 procedures. J. Endourol. 2004; 18: 976-981.
  12. Malek R. S., Kuntzman R. S., Barrett D. M. Photoselective potassium-titanyl-phosphate laser vaporization of the benign obstructive prostate: observations on long-term outcomes. J. Urol. (Baltimore) 2005; 174: 1344-1348.
  13. Te A. E., Malloy T. R., Stein B. S. et al. Photoselective vaporization of the prostate for the treatment of benign prostatic hyperplasia: 12-month results from the first United States multicenter prospective trial. J. Urol. (Baltimore) 2004; 172: 1404- 1408.
  14. Bachmann A., Schflrch L., Ruszat R. et al. Photoselective vaporization (PVP) versus transurethral resection of the prostate (TURP): a prospective bi-centre study of perioperative morbidity and early functional outcome. Eur. Urol. 2005; 48: 965-972.
  15. Bouchier-Hayes D. M., Anderson P., Van Appledom S. et al. KTP laser versus transurethral resection: early results of a randomized trial. J. Endourol. 2006; 20: 580-585.
  16. Woo H., Reich O., Bachmann A. et al. Outcome of GreenLight HPS 120-W laser therapy in specific patient populations: Those in retention, on anticoagulants, and with large prostates (80 ml). J. Eur. Urol. Suppl. 2008; 7: 378-383.
  17. Gomez S. F., Bachmann A., Choi B. B. et al. Photoselective vaporization of the prostate (GreenLight PV): lessons learnt after 3500 procedures. Prostate Cancer Prostat. Dis. 2007; 10: 316- 322.
  18. Barber N. J., Muir G. H. High-power KTP laser prostatectomy: the new challenge to transurethral resection of the prostate. Curr. Opin. Urol. 2004; 14: 21-25.
  19. Ruszat R., Wyler S., Seifert H.-H. et al. Photoselective vaporization of the prostate: subgroup analysis of men with refractory urinary retention. Eur. Urol. 2006; 50: 1040-1049.
  20. Monoski M. A., Gonzalez R. R., Sandhu J. S. et al. Urodynamic predictors of outcomes with photoselective laser vaporization prostatectomy in patients with benign prostatic hyperplasia and preoperative retention. Urology 2006; 68: 312-317.
  21. Sandhu J. S., Ng C. K., Gonzalez R. R. et al. Photo-selective laser vaporization prostatectomy in men receiving anticoagulants. J. Endourol. 2005; 19: 1196-1198.
  22. Reich O., Bachmann A., Siebels M. et al. High-power (80 W) potassium-titanyl-phosphate (KTP) laser vaporization of the prostate in 66 high-risk patients. J. Urol. (Baltimore) 2005; 173: 158-160.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies