Hakvoort, D.M. (2013) De chirurgische behandeling van benigne prostaathyperplasie: GreenLight Laser versus de conventionele transurethrale resectie van de prostaat. thesis, Medicine.
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Abstract
Objective: To assess the safety and efficacy of GreenLight HPS 120-W (GLL HPS) and XPS 180-W laser (GLL XPS) photoselective vaporisation of the prostate (PVP) compared with the monopolar transurethral resection of the prostate (TURP) as treatment of benign prostate hyperplasia (BPH). Study design: Retrospective comparing cohort study. Material & Methods: Data was retrospective collected from patients who underwent their primary TURP for treatment of BPH between January 2000 and June 2005, February 2009 and March 2011, April 2011 and September 2013 with monopolar TURP, GLL PVP 120-W and GLL PVP 180-W respectively. The collected data included a pre- and postoperative Qmax, post voiding residu, prostate volume and PSA. Perioperative complication rates and hospital stay were recorded and compared as well as complications within 12 months of follow up (urethrastrictures, bladder neck sclerosis (BNS) and the need of surgical retreatment for recurrence of BPH were compared. Results: 637 patients met the inclusion criteria 287 were treated by TURP, 178 by GLL HPS and 170 by GLL XPS. The gain in Qmax was higher in both the GLL HPS and GLL XPS, postoperative post voiding residu was equal in the three groups. PSA and prostate volume also decreased equally. No significant differences were found in perioperative complication rates. Patients treated with the GLL HPS and GLL XPS had a significant shorter length of stay in the hospital. However, within the first 12 months after the operation, there were more operations performed to treat BNS and recurrent BPH in patients who were treated with GLL PVP. Conclusions: GreenLight Laser seems to have equal results on safety. The efficacy seems to be better in patients treated with GLL PVP, however a higher need of retreatment within the first 12 months comparing with the monopolar transurethral resection of the prostate was found.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Roelink, H. and Ziekenhuisgroep Twente (ZGT) |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:44 |
| Last Modified: | 25 Jun 2020 10:44 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/523 |
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