Objective. Assessment of the results of laser prostectomy, as a treatment for benign prostatic hyperplasia (BPH). Design. Prospective case control study. Setting. University Hospital Utrecht, the Netherlands. Method. Between February 1992 and May 1993, 54 men with their micturition complaints due to BPH were treated with laser prostatectomy (TULIP) system). Results were assessed using the international prostatic symptom score (IPPS), the maximal flow and urodynamic tests. The results were compared retrospectively with results of transurethral resection of the prostate (TURP; n = 40): both groups were urodynamically identical. Results. Of the 54 patients, 10 could not be evaluated 6 months after treatment (5 of them underwent TURP or a second laser prostatectomy). In 40 patients complete evaluation including urodynamics before and six months after treatment was possible. A significant decrease in the symptom score from 19.3 (SD: 5.4) and increase of the maximal flow during pressure-flow studies from 9.6 to 15.8 ml per second were observed. The decrease of the voiding pressure at 6 months after TURP in comparison with laser prostatectomy was close to significance (p = 0.05); the other improvements after urodynamics were comparable. Conclusion. Laser prostatectomy is a promising new therapy for BPH.
|Translated title of the contribution||Laser prostatectomy, a new treatment for men with micturition complaints due to benign prostatic hyperplasia|
|Number of pages||4|
|Journal||Nederlands tijdschrift voor geneeskunde|
|Publication status||Published - 2 Sep 1994|