Effect of Hybrid Laser Prostatectomy and Laser Thermotherapy on Benign Prostatic Hyperplasia.
- Author:
Yeong Su HWANG
1
;
Hee Chang JUNG
;
Woo Sung JEON
;
Ki Hak MUN
;
Tong Choon PARK
;
Jun Kyu SUH
Author Information
1. Department of Urology, Yeungnam university, Taegu, and Inha University, Incheon, Korea.
- Publication Type:Original Article
- Keywords:
hybrid laser prostatectomy;
laser thermotherapy;
benign prostatic hyperplasia
- MeSH:
Humans;
Hyperthermia, Induced*;
Laser Therapy;
Postoperative Complications;
Prostate;
Prostatectomy*;
Prostatic Hyperplasia*;
Transurethral Resection of Prostate
- From:Korean Journal of Urology
1996;37(10):1142-1148
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Recently, laser treatment of benign prostatic hyperplasia (BPH) is considered as a promising alternative to traditional transurethral resection of the prostate (TURP). To evaluate the effectiveness and safety of laser therapy on BPH, we compared the results of transurethral balloon laser thermotherapy (TUBALT, n=13) and Hybrid laser prostatectomy (HLP, n=21) with those of TURP (n=25) in 58 patients with mild and moderate BPH. Following data were evaluated at postoperative 1, 3 and 6 months : AUA symptom score (SS), maximal flow rate (Qmax), subjective symptom improvement (SI), postoperative complications. All 3 groups show significant improvement after treatment in the Qmax values. Among 3 groups, the Qmax value was lower in TUBALT group (12.9+/-3.3 ml/sec) than those in HLP group (15.5+/-5.2 ml/sec) and TURP group (18.7+/-5.3 ml/sec) on postoperative 6 months. The Qmax values were not significantly different between HLP and TURP groups. In the SS values, all 3 groups show significant improvement after treatment and, TUBALT (9.9+/-9.7) and HLP (10.3+/-9.4) group were comparable to TURP group (5.2+/-4.2) on postoperative 6 months. In global assessment of SI, both HLP (87.5%) and TUBALT (75%) group were also comparable to TURP (90%) group on postoperative 3 months. but TUBALT group showed delayed symptom improvement compared to TURP group. Postoperative complications were minimal both in HLP and TUBALT groups, compared to TURP group. These results suggest that both HLP and TUBALT are effective in mild and moderate BPH, Further more, HLP treatment could be considered a promising alternative to TURP.
