Interstitial laser coagulation in the management of lower urinary tract symptoms suggestive of bladder outlet obstruction from benign prostatic hyperplasia: long-term follow-up
| Autor: | Jannicke Frugård, Lars Dæhlin |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Nephrology
Male Reoperation medicine.medical_specialty Time Factors Urology Prostatic Hyperplasia Bladder outlet obstruction Lower urinary tract symptoms Internal medicine medicine Humans skin and connective tissue diseases Aged Aged 80 and over Laser Coagulation business.industry Interstitial laser Hyperplasia Middle Aged medicine.disease Surgery body regions Urinary Bladder Neck Obstruction Urodynamics Treatment Outcome Coagulation Quartile International Prostate Symptom Score business Prostatism Follow-Up Studies |
| Zdroj: | BJU international. 100(1) |
| ISSN: | 1464-4096 |
| Popis: | OBJECTIVE To evaluate the long-term effects, including durability, of interstitial laser coagulation (ILC) in patients with symptomatic benign prostatic hyperplasia. PATIENTS AND METHODS In all, 49 men (median age 68 years, range 52-80) were treated with ILC; 22 men were assessed for a median (range) of 54 (46-61) months. Information on the timing and type of re-treatment were collected for the remaining patients. RESULTS The median (quartiles) International Prostate Symptom Score decreased from 22 (19-28) at baseline to 13 (5-21), a decrease of 41%. The peak urinary flow increased by 20% to 10.2 (8.7-12.9) mL/s. Twenty-two patients were re-treated (by any type) after ILC, giving a re-treatment rate of 50%. CONCLUSION There were moderate effects on voiding variables and a high re-treatment rate during the long-term follow-up after ILC. It seems reasonable that the use of ILC is restricted to selected, high-risk patients. |
| Databáze: | OpenAIRE |
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