LONG-TERM RESULTS OF PROSTATIC PHOTOSELECTIVE VAPORIZATION IN THE TREATMENT OF PROSTATIC ADENOMA
- Autores: Kamalov A.A1, Osmolovsky B.E1, Okhobotov D.A1
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Afiliações:
- Edição: Nº 3 (2012)
- Páginas: 31-33
- Seção: Articles
- URL: https://journals.eco-vector.com/1728-2985/article/view/279464
- ID: 279464
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Resumo
Assessment of long-term efficacy and complications of prostatic photoselective vaporization ( Green Light PV (tm) device, Laserscope®, 80W; laser cystoscope, Olympus) was performed in 40 patients with prostatic adenoma (PA) treated in 2005-2006. Mean follow-up was 30.6±16.6 (5.2-60.6) months, time of operation — 52.4 min, intraoperative blood loss — 52 ml maximum, duration of bladder draining with catheter — 1.15 days. For 12 postoperative months IPSS and QoL declined, then for up to 60 months these parameters went up. An 11-month postoperative follow-up recorded a 68.6% maximal decrease in prostatic volume (the size of the prostate decreased to 22.6 cm 3), but after 4 years this volume increased by 24.6% to 38.8 cm 3. Qmax increased more actively during postoperative year 1 and reached maximal value to postoperative month 36. Residual urinary volume fell to initial 95.7 ml to minimal 24.8 ml on follow-up month 12. Mean quantity of energy reached 206±94 (2.4619.0 kJ. Eleven patients had to take oral anticoagulants without any serious intra- or postoperative complications. Recurrent adenoma rose in 4 patients, urethral stricture — in 6.8% patients, cervical bladder sclerosis was found in 3.6% cases. Prostatic cancer development was not registered. Thus, prostatic photoselective vaporization is a safe and efficave procedure in PA treatment.
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Bibliografia
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