From 6/1981 to 6/1996 a total of 978 consecutive patients (mean age: 69) presenting with bladder outlet obstructive were admitted to Viet Duc hospital for elective transurethral resection of prostate). The feagure of TURP were increasing from year to year and the TURP/ open surgery ratio was 80% in 1996. The procedures were performed with low mortality (0.3%) and low morbidity (bleeding 0.6%, capsular perforation (0.7%). TURP syndrome (0.3%), dysuria (1.8%) incontinence (1.1%), urethral stricture (1.5%) Hospital stay: 5(2 days. Overall outcome: good: 77%, moderate 19%; unsatis factory: 4%.
Prostatic Hyperplasia ; therapy ; surgery

The authors report a retrospective study of 212 resections for benign prostatic hypertrophy during 3 years (1998-2000), yielding a mean weight of 30 grams. The mortality rate was 0%. There was only one abundant bleeding case (0.4%). There were 5 cases of dysuria (2.3%) and 2 cases (0.9%) of incontinence. The experience of surgeons and the improvements in equipment appeared to be two essential factors of the primary results of endoscopic resection for benign prostatic hypertrophy at Viet Tiep hospital. Tumor, prostate, endoscopic, benign prostatic hypertrophy, endoscopic resection, Viet Tiep hospital, 1998 - 2000.
Prostatic Hyperplasia ; surgery ; therapeutics

This study involved 307 patients with benign hypertrophic prostate (BHP) who were underwent tumor removing surgically using Hryntschak’s method from January 1995 to June 1999 at the Military Central Hospital 108. Age of participants ranged from 50 to 89 years. The results showed that the older the patient was, the more severe the BHP-related urinary problems are and the poorer the post-operative recovery is. Post-operative monitoring and evaluation of result of operation for BHP need to be performed at lest 3 months post-operation, as manifestations of urinary disorders were stable. At 3-month postoperation, 98/144 patients (68.1%) have good outcomes, 45/144 (31.2%) have moderate and 1/144 (0.7%) have poor outcomes.
Prostatic Hyperplasia ; surgery

Humans ; Laser Therapy ; Male ; Prostatic Hyperplasia ; surgery

These patients were admitted to hospital due to diuretic difficulty, increasing frequency of micturition (89.63%) and retention of urine (10.37%). Histopathological examination: Most of lesion are benign prostatic hyperplasia (98%, 15%). Carcinoma was detected only in 10 cases (1.85%).
Prostate ; Prostatic Hyperplasia ; diagnosis ; anatomy & histology ; surgery

China ; Humans ; Laser Therapy ; Male ; Prostatic Hyperplasia ; surgery

OBJECTIVETo improve Madigan prostatectomy (MPC) for a much satisfactory effect in open surgery.

METHODSA total of 52 patients with benign prostatic hyperplasia (BPH) were treated using MPC. The MPC procedure was modified by exposing anterior prostatic urethra near the bladder neck and conjunction with cystotomy. This modified procedure preserved prostatic urethra intact and could also deal with intracystic lesions at the same time.

RESULTSThe intact of prostatic urethra was kept completely or almost for 48 cases. The hemorrhage amount during modified procedure was a less. The mean operative time was 120 minutes. The 35 patients had been followed up for 1 - 12 months. The average Qmax was 18.9 ml/s. The cystourethrography revealed that the urethra and bladder neck were intact in 8 patients postoperatively. Furthermore, the prostatic urethra was obviously wider after modified MPC.

CONCLUSIONSThe modified MPC can reduce the urethra injury and enlarge the MPC indications. The modified technique is easy to perform with little complications and much more satisfactory clinical result. The modified MPC is highly recommended.

Female ; Humans ; Kidney Neoplasms ; surgery ; Laparoscopy ; Male ; Prostatic Hyperplasia ; surgery ; Prostatic Neoplasms ; surgery ; Urinary Calculi ; surgery ; Urodynamics ; Urology

Humans ; Male ; Prostate ; surgery ; Prostatic Hyperplasia ; surgery ; Transurethral Resection of Prostate ; instrumentation ; methods

The search for a minimally invasive approach to the treatment of Lower Urinary Tract Symptoms (LUTS) suggestive of Benign Prostatic Hyperplasia (BPH) is probably as old as Transurethral Resection of the Prostate (TURP). In an effort to overcome the limitations and morbidities of TURP, and in light of evidence suggesting that medical treatment for BPH has a limited life-span, laser-based treatments have emerged during the last decade. Photoselective Vaporization of the Prostate (PVP) by the "GreenLight" KTP laser is considered one of the most promising options, one that is constantly evolving new technologies in prostate surgery. In this overview of KTP laser usage in BPH treatment, we will briefly discuss the evolution of this modality since it was first introduced and focus on the available evidence regarding safety, efficacy and cost parameters of its application.
Humans ; Laser Therapy/*methods/trends ; Male ; Prostate/pathology/*surgery ; Prostatic Hyperplasia/*surgery