Aim: To compare holmium laser enucleation of the prostate (HoLEP) and endovideosurgical (EVS) adenomectomy in the treatment of prostate adenoma.
Materials And Methods: We compared treatment results of 180 patients with prostate adenomas greater than 100 cm3 who underwent EVS adenomectomy (n=90) and laser enucleation of the prostate (n=90). The analysis included the following parameters: duration of catheterization, length of postoperative hospital stay, I-PSS score, maximum urinary flow rate measured by uroflowmetry and complications according to Clavien-Dindo grading systems.
Results: There were no significant differences in patient age, preoperative prostate size, glandular tissue weight, and operative time. The duration of catheterization (p=0.0008) and length of postoperative hospital stay (p<0.0001) were significantly shorter in the HoLEP group. Both groups showed a statistically significant improvement in functional performance at three months post-surgery. Complications in the HoLEP and EVS adenomectomy group occurred in 18 (20%) and 23 (25.55%) patients, respectively (p>0.99).
Conclusion: The two methods mentioned above are widely used in the treatment of prostate adenoma. However, holmium laser enucleation of the prostate shows similar short-term functional results and complication rates compared with EVS adenomectomy for prostate adenomas greater than 100 cm3. The patients of the HoLEP group had better results regarding the duration of catheterization and length of postoperative hospital stay. Therefore, laser enucleation is the preferred surgical modality for prostate adenomas greater than 100 cm3.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Utilization of cardiopulmonary bypass at radical nephrectomy for renal cell carcinoma with tumour thrombus.
BJUI Compass
January 2025
Department of Urology, Feinberg School of Medicine Northwestern University Chicago Illinois USA.
Objectives: The objective of this study is to evaluate preoperative factors associated with cardiopulmonary bypass (CPB) utilization and outcomes for patients with renal cell carcinoma (RCC) and tumour thrombus (TT). Radical nephrectomy with thrombectomy is a standard treatment for patients with RCC and associated TT. Morbidity and mortality rates tend to correlate with aggressiveness of tumour and TT level.
View Article and Find Full Text PDFIn the field of image processing, optical neural networks offer advantages such as high speed, high throughput, and low energy consumption. However, most existing coherent optical neural networks (CONN) rely on coherent light sources to establish transmission models. The use of laser inputs and electro-optic modulation devices at the front end of these neural networks diminishes their computational capability and energy efficiency, thereby limiting their practical applications in object detection tasks.
View Article and Find Full Text PDFWe theoretically calculate the coupling loss between single-mode fibers (SMFs) and polymer optical waveguides with different refractive index profiles. Temperature resistance is one of the concerns when integrating polymer optical waveguides near the electronics and photonics chips where they are highly likely to dissipate heat. Hence, the calculation focuses on the core size variations due to changes in operating temperature.
View Article and Find Full Text PDFPreviously we reported color matches measured in young adults using a newly developed multi-wavelength LED-based visual trichromator with which we estimated their individual L-, M- and S-cone spectral sensitivities. Here, we extend those measurements to include 70 additional observers aged between 8 to 80 years. As in our previous work, a series of color matching measurements were made to a reference white.
View Article and Find Full Text PDFBackground: The proportion of people living with HIV (PLHIV) in Guangxi who are men who have sex with men (MSM) increased rapidly to nearly 10% in 2023; notably, over 95% of this particular population is currently receiving antiretroviral therapy (ART). This study aimed to describe the survival of MSM PLHIV, depict the characteristics and trends of changes in CD4 T cell counts, CD4/CD8 T cell ratio, and viral load, and explore immunological indicators that may be related to mortality during different stages of treatment.
Methods: Immunological indicators of MSM PLHIV receiving ART were extracted and categorized into baseline, mid-treatment, and last values.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!