URODYNAMICS AND LASER PROSTATECTOMY

被引:11
作者
CANNON, A
DEWILDT, M
ABRAMS, PH
DELAROSETTE, JJMCH
机构
[1] SOUTHMEAD GEN HOSP,BRISTOL UROL INST,DEPT UROL,BRISTOL BS10 5NB,AVON,ENGLAND
[2] UNIV NIJMEGEN HOSP,DEPT UROL,NIJMEGEN,NETHERLANDS
关键词
D O I
10.1007/BF00183631
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
A total of 81 patients with symptomatic bladder-outlet obstruction (BOO) due to benign prostatic hyperplasia (BPH) underwent visual laser ablation of the prostate (VLAP) using a right-angled firing neodynium: YAG laser. The mean pre-operative prostatic volume was 48.5 ml. All patients were discharged on the Ist post-operative day with an indwelling catheter. Two patients underwent a transurethral prostatectomy (TURF) after failing a trial without catheter on two occasions. Of the remaining 79 patients, 75 were evaluated 6 months post-operatively. Mean symptom scores (I-PSS) decreased from 20.9 to 5.8, the mean maximal urinary flow rate increased from 7.9 to 16.4 ml/a and the mean residual volume decreased from 88.1 to 15.6 ml. Several different methods of evaluating BOO from pressure-flow measurements were used and all showed improvement. All the above-mentioned parameters showed a highly significant improvement (P < 0.01) at 6 months.
引用
收藏
页码:134 / 136
页数:3
相关论文
共 17 条
[1]   ASSESSMENT OF PROSTATIC OBSTRUCTION FROM URODYNAMIC MEASUREMENTS AND FROM RESIDUAL URINE [J].
ABRAMS, PH ;
GRIFFITHS, DJ .
BRITISH JOURNAL OF UROLOGY, 1979, 51 (02) :129-134
[2]   BLADDER OUTLET OBSTRUCTION VERSUS IMPAIRED DETRUSOR CONTRACTILITY - THE ROLE OF UROFLOW [J].
CHANCELLOR, MB ;
BLAIVAS, JG ;
KAPLAN, SA ;
AXELROD, S .
JOURNAL OF UROLOGY, 1991, 145 (04) :810-812
[3]   LASER ABLATION OF THE PROSTATE IN PATIENTS WITH BENIGN PROSTATIC HYPERTROPHY [J].
COSTELLO, AJ ;
BOWSHER, WG ;
BOLTON, DM ;
BRASLIS, KG ;
BURT, J .
BRITISH JOURNAL OF UROLOGY, 1992, 69 (06) :603-608
[4]  
DOLL HA, 1985, J UROLOGY, V147, P1566
[5]   QUANTITIFICATION OF URETHRAL RESISTANCE AND BLADDER FUNCTION DURING VOIDING, WITH SPECIAL REFERENCE TO THE EFFECTS OF PROSTATE SIZE-REDUCTION ON URETHRAL OBSTRUCTION DUE TO BENIGN PROSTATIC HYPERPLASIA [J].
GRIFFITHS, D ;
VANMASTRIGT, R ;
BOSCH, R .
NEUROUROLOGY AND URODYNAMICS, 1989, 8 (01) :17-27
[6]  
HOFNER K, 1992, NEUROUROL URODYNAM, V11, P386
[7]   LASER PROSTATECTOMY PERFORMED WITH A RIGHT-ANGLE FIRING NEODYMIUM-YAG LASER FIBER AT 40 WATTS POWER SETTING [J].
KABALIN, JN .
JOURNAL OF UROLOGY, 1993, 150 (01) :95-99
[8]  
LIM CS, 1994, 1994 P ANN M INT CON
[9]   TRANSURETHRAL ULTRASOUND-GUIDED LASER-INDUCED PROSTATECTOMY - NATIONAL HUMAN COOPERATIVE STUDY RESULTS [J].
MCCULLOUGH, DL ;
ROTH, RA ;
BABAYAN, RK ;
GORDON, JO ;
REESE, JH ;
CRAWFORD, ED ;
FUSELIER, HA ;
SMITH, JA ;
MURCHISON, RJ ;
KAYE, KW .
JOURNAL OF UROLOGY, 1993, 150 (05) :1607-1611
[10]   TRANS-URETHRAL PROSTATECTOMY - IMMEDIATE AND POSTOPERATIVE COMPLICATIONS - A COOPERATIVE STUDY OF 13 PARTICIPATING INSTITUTIONS EVALUATING 3,885 PATIENTS [J].
MEBUST, WK ;
HOLTGREWE, HL ;
COCKETT, ATK ;
PETERS, PC .
JOURNAL OF UROLOGY, 1989, 141 (02) :243-247