Open prostatectomy versus 180-W XPS GreenLight laser vaporization: Long-term functional outcome for prostatic adenomas > 80 g
| Autor: | J-A. Long, N. Peilleron, C. Thuillier, J.-L. Descotes, Nicolas Terrier, C. Lanchon, Bernard Boillot, Q. Franquet, S. Grisard, D. Poncet, D. Carnicelli, E. Bey, Jean-Jacques Rambeaud, V. Arnoux, G. Fiard, J. Lefrancq |
|---|---|
| Přispěvatelé: | Centre Hospitalier Universitaire [Grenoble] (CHU), CHU Grenoble, Gestes Medico-chirurgicaux Assistés par Ordinateur (TIMC-IMAG-GMCAO), Techniques de l'Ingénierie Médicale et de la Complexité - Informatique, Mathématiques et Applications, Grenoble - UMR 5525 (TIMC-IMAG), Institut polytechnique de Grenoble - Grenoble Institute of Technology (Grenoble INP )-VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS)-Centre National de la Recherche Scientifique (CNRS)-Université Grenoble Alpes [2016-2019] (UGA [2016-2019])-Institut polytechnique de Grenoble - Grenoble Institute of Technology (Grenoble INP )-VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS)-Centre National de la Recherche Scientifique (CNRS)-Université Grenoble Alpes [2016-2019] (UGA [2016-2019]), Service d'urologie, CHU Grenoble-Hôpital Michallon, Ciblage thérapeutique en Oncologie (EA3738), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon, Percy Military Teaching Hospital, Clinique d'urologie |
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Multivariate analysis Hyperplasie benign de prostate PVP [SDV]Life Sciences [q-bio] Urology medicine.medical_treatment Enucleation Prostatic Hyperplasia Open prostatectomy 030232 urology & nephrology Photovaporisation prostatique Urinary catheterization 03 medical and health sciences 0302 clinical medicine Quality of life Prostate Humans Medicine Aged Retrospective Studies GreenLight laser vaporization Outcome Prostatectomy business.industry Urinary retention GreenLight Recovery of Function Adenomectomie voie haute 3. Good health medicine.anatomical_structure Greenlight laser 030220 oncology & carcinogenesis Laser Therapy Benign prostatic obstruction medicine.symptom business Open Prostatectomy |
| Zdroj: | Progrès en Urologie Progrès en Urologie, Elsevier Masson, 2018, 28 (3), pp.180-187. ⟨10.1016/j.purol.2017.12.008⟩ |
| ISSN: | 1166-7087 |
| Popis: | INTRODUCTION GreenLight photoselective vaporisation of the prostate (PVP) offers an endoscopic alternative to open prostatectomy (OP) for treatment of large adenomas. This study compares long-term functional outcome of both techniques in patients with Benign prostatic obstruction (BPO)>80g. MATERIAL AND METHOD Data from patients who underwent surgical treatment for BPO>80g from January 2010 to February 2015 at our institution were retrospectively collected and compared according to surgical technique. Patient's demographics, surgeon's experience, operative data and long-term functional results were analyzed, using IPSS and International continence society (ICS) male questionnaire associated with Quality of life scores (IPSS-QL and ICS-QL). Predictors of long-term outcome were also assessed. RESULTS In total, 111 consecutive patients, 57 PVP and 54 OP, were included in the study with a mean follow-up of 24 and 33 month respectively. Patient's age, Charlson score, preoperative IPSS and urinary retention rates were similar. Mean prostatic volume was superior in the OP group (142 versus 103g, P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|