Transurethral Holmium: YAG Laser Prostatectomy Using a Side–Firing Fiber for Bladder Outlet Obstruction due to Benign Prostatic Enlargement: Urodynamic Evaluation of Surgical Outcome
Objectives: To prospectively assess the efficacy of transurethral holmium (Ho):YAG laser prostatectomy using a side–firing fiber in patients with bladder outlet obstruction due to benign prostatic enlargement (BPE) from the standpoint of urodynamics. Methods: 32 male patients with BPE aged 53–83 (me...
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| Veröffentlicht in: | European urology 2001-05, Vol.39 (5), p.544-550 |
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| creator | Yamanishi, Tomonori Takei, Kazushiro Tobe, Toyofusa Ueda, Takeshi Ito, Haruo Yasuda, Kosaku |
| description | Objectives: To prospectively assess the efficacy of transurethral holmium (Ho):YAG laser prostatectomy using a side–firing fiber in patients with bladder outlet obstruction due to benign prostatic enlargement (BPE) from the standpoint of urodynamics. Methods: 32 male patients with BPE aged 53–83 (mean 69.4) years were operated on. All patients, excluding 3 with urinary retention, were evaluated with the International Prostatic Symptom Score (IPSS), Quality of Life (QOL) score and uroflowmetry up to 12 months postoperatively, and a pressure/flow study was performed before and 3 months after the operation. Results: The total IPSS score, QOL score, average and maximum flow rates improved significantly (p |
| doi_str_mv | 10.1159/000052501 |
| format | Article |
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Methods: 32 male patients with BPE aged 53–83 (mean 69.4) years were operated on. All patients, excluding 3 with urinary retention, were evaluated with the International Prostatic Symptom Score (IPSS), Quality of Life (QOL) score and uroflowmetry up to 12 months postoperatively, and a pressure/flow study was performed before and 3 months after the operation. Results: The total IPSS score, QOL score, average and maximum flow rates improved significantly (p<0.0001) at 12 months postoperatively. In the pressure/flow study, detrusor opening pressure, maximum detrusor pressure, detrusor pressure at maximum flow, minimum urethral opening pressure, and Abrams–Griffiths number decreased significantly (p<0.0001, p = 0.0001, p<0.0001, p = 0.0019 and p<0.0001, respectively) 3 months postoperatively. Detrusor instability disappeared in 12 of 17 patients and remained in 2. Conclusions: Transurethral Ho:YAG laser prostatectomy was found to be effective for the treatment of bladder outlet obstruction due to BPE.</description><identifier>ISSN: 0302-2838</identifier><identifier>EISSN: 1873-7560</identifier><identifier>EISSN: 1421-993X</identifier><identifier>DOI: 10.1159/000052501</identifier><identifier>PMID: 11464035</identifier><identifier>CODEN: EUURAV</identifier><language>eng</language><publisher>Basel, Switzerland: Elsevier</publisher><subject>Aged ; Aged, 80 and over ; Biological and medical sciences ; BPH ; Genital system. Mammary gland ; Holmium ; Humans ; Laser Therapy - instrumentation ; Laser Therapy - methods ; Male ; Medical sciences ; Middle Aged ; Prospective Studies ; Prostatic Hyperplasia - complications ; Prostatic Hyperplasia - surgery ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Technology. Biomaterials. Equipments. Material. Instrumentation ; Transurethral Resection of Prostate - methods ; Treatment Outcome ; Urinary Bladder Neck Obstruction - etiology ; Urinary Bladder Neck Obstruction - physiopathology ; Urinary Bladder Neck Obstruction - surgery ; Urodynamics - radiation effects</subject><ispartof>European urology, 2001-05, Vol.39 (5), p.544-550</ispartof><rights>2001 S. Karger AG, Basel</rights><rights>2001 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c452t-3e4aa775a1002e338667caa86d22e4bfd7cb21d0646a795d0bee2eed7a2f147e3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,2422,27903,27904</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1068891$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11464035$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yamanishi, Tomonori</creatorcontrib><creatorcontrib>Takei, Kazushiro</creatorcontrib><creatorcontrib>Tobe, Toyofusa</creatorcontrib><creatorcontrib>Ueda, Takeshi</creatorcontrib><creatorcontrib>Ito, Haruo</creatorcontrib><creatorcontrib>Yasuda, Kosaku</creatorcontrib><title>Transurethral Holmium: YAG Laser Prostatectomy Using a Side–Firing Fiber for Bladder Outlet Obstruction due to Benign Prostatic Enlargement: Urodynamic Evaluation of Surgical Outcome</title><title>European urology</title><addtitle>Eur Urol</addtitle><description>Objectives: To prospectively assess the efficacy of transurethral holmium (Ho):YAG laser prostatectomy using a side–firing fiber in patients with bladder outlet obstruction due to benign prostatic enlargement (BPE) from the standpoint of urodynamics. Methods: 32 male patients with BPE aged 53–83 (mean 69.4) years were operated on. All patients, excluding 3 with urinary retention, were evaluated with the International Prostatic Symptom Score (IPSS), Quality of Life (QOL) score and uroflowmetry up to 12 months postoperatively, and a pressure/flow study was performed before and 3 months after the operation. Results: The total IPSS score, QOL score, average and maximum flow rates improved significantly (p<0.0001) at 12 months postoperatively. In the pressure/flow study, detrusor opening pressure, maximum detrusor pressure, detrusor pressure at maximum flow, minimum urethral opening pressure, and Abrams–Griffiths number decreased significantly (p<0.0001, p = 0.0001, p<0.0001, p = 0.0019 and p<0.0001, respectively) 3 months postoperatively. Detrusor instability disappeared in 12 of 17 patients and remained in 2. Conclusions: Transurethral Ho:YAG laser prostatectomy was found to be effective for the treatment of bladder outlet obstruction due to BPE.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>BPH</subject><subject>Genital system. Mammary gland</subject><subject>Holmium</subject><subject>Humans</subject><subject>Laser Therapy - instrumentation</subject><subject>Laser Therapy - methods</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Prospective Studies</subject><subject>Prostatic Hyperplasia - complications</subject><subject>Prostatic Hyperplasia - surgery</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Technology. Biomaterials. Equipments. Material. Instrumentation</subject><subject>Transurethral Resection of Prostate - methods</subject><subject>Treatment Outcome</subject><subject>Urinary Bladder Neck Obstruction - etiology</subject><subject>Urinary Bladder Neck Obstruction - physiopathology</subject><subject>Urinary Bladder Neck Obstruction - surgery</subject><subject>Urodynamics - radiation effects</subject><issn>0302-2838</issn><issn>1873-7560</issn><issn>1421-993X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkc1uEzEQxy0EoiFw4IyELISQOARs74c3vbVV0iJFCqLNgdNq1p4Nht118AdSbrwDL8Pz8CR4m1A44Is99m_-npk_IU85e8N5MX_L0ipEwfg9MuGVzGayKNl9MmEZEzNRZdUJeeT950RlxTx7SE44z8s8BRPy88bB4KPD8MlBR69s15vYn9KPZ5d0BR4dfe-sDxBQBdvv6cabYUuBXhuNv77_WBo3xkvTJLK1jp53oHU6r2PoMNB144OLKhg7UB2RBkvPcTDb4Y-sUXQxdOC22OMQTunGWb0foB_vv0EX4TbVtvQ6uq1RqcSkrGyPj8mDFjqPT477lGyWi5uLq9lqffnu4mw1U3khwizDHEDKAjhjArOsKkupAKpSC4F502qpGsE1K_MS5LzQrEEUiFqCaHkuMZuSVwfdnbNfI_pQ98Yr7DoY0EZfS864ZGnIU_L6AKrUmXfY1jtnenD7mrN6tKm-symxz4-iselR_yWPviTg5REAn5puk0nK-H8Uy6qajzovDtiXcYLu7n2x-XD7Ub3TbYKe_Rc6lPIbtrmygQ</recordid><startdate>20010501</startdate><enddate>20010501</enddate><creator>Yamanishi, Tomonori</creator><creator>Takei, Kazushiro</creator><creator>Tobe, Toyofusa</creator><creator>Ueda, Takeshi</creator><creator>Ito, Haruo</creator><creator>Yasuda, Kosaku</creator><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20010501</creationdate><title>Transurethral Holmium: YAG Laser Prostatectomy Using a Side–Firing Fiber for Bladder Outlet Obstruction due to Benign Prostatic Enlargement: Urodynamic Evaluation of Surgical Outcome</title><author>Yamanishi, Tomonori ; Takei, Kazushiro ; Tobe, Toyofusa ; Ueda, Takeshi ; Ito, Haruo ; Yasuda, Kosaku</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c452t-3e4aa775a1002e338667caa86d22e4bfd7cb21d0646a795d0bee2eed7a2f147e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>BPH</topic><topic>Genital system. Mammary gland</topic><topic>Holmium</topic><topic>Humans</topic><topic>Laser Therapy - instrumentation</topic><topic>Laser Therapy - methods</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Prospective Studies</topic><topic>Prostatic Hyperplasia - complications</topic><topic>Prostatic Hyperplasia - surgery</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Technology. Biomaterials. Equipments. Material. Instrumentation</topic><topic>Transurethral Resection of Prostate - methods</topic><topic>Treatment Outcome</topic><topic>Urinary Bladder Neck Obstruction - etiology</topic><topic>Urinary Bladder Neck Obstruction - physiopathology</topic><topic>Urinary Bladder Neck Obstruction - surgery</topic><topic>Urodynamics - radiation effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yamanishi, Tomonori</creatorcontrib><creatorcontrib>Takei, Kazushiro</creatorcontrib><creatorcontrib>Tobe, Toyofusa</creatorcontrib><creatorcontrib>Ueda, Takeshi</creatorcontrib><creatorcontrib>Ito, Haruo</creatorcontrib><creatorcontrib>Yasuda, Kosaku</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yamanishi, Tomonori</au><au>Takei, Kazushiro</au><au>Tobe, Toyofusa</au><au>Ueda, Takeshi</au><au>Ito, Haruo</au><au>Yasuda, Kosaku</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Transurethral Holmium: YAG Laser Prostatectomy Using a Side–Firing Fiber for Bladder Outlet Obstruction due to Benign Prostatic Enlargement: Urodynamic Evaluation of Surgical Outcome</atitle><jtitle>European urology</jtitle><addtitle>Eur Urol</addtitle><date>2001-05-01</date><risdate>2001</risdate><volume>39</volume><issue>5</issue><spage>544</spage><epage>550</epage><pages>544-550</pages><issn>0302-2838</issn><eissn>1873-7560</eissn><eissn>1421-993X</eissn><coden>EUURAV</coden><abstract>Objectives: To prospectively assess the efficacy of transurethral holmium (Ho):YAG laser prostatectomy using a side–firing fiber in patients with bladder outlet obstruction due to benign prostatic enlargement (BPE) from the standpoint of urodynamics. Methods: 32 male patients with BPE aged 53–83 (mean 69.4) years were operated on. All patients, excluding 3 with urinary retention, were evaluated with the International Prostatic Symptom Score (IPSS), Quality of Life (QOL) score and uroflowmetry up to 12 months postoperatively, and a pressure/flow study was performed before and 3 months after the operation. Results: The total IPSS score, QOL score, average and maximum flow rates improved significantly (p<0.0001) at 12 months postoperatively. In the pressure/flow study, detrusor opening pressure, maximum detrusor pressure, detrusor pressure at maximum flow, minimum urethral opening pressure, and Abrams–Griffiths number decreased significantly (p<0.0001, p = 0.0001, p<0.0001, p = 0.0019 and p<0.0001, respectively) 3 months postoperatively. Detrusor instability disappeared in 12 of 17 patients and remained in 2. Conclusions: Transurethral Ho:YAG laser prostatectomy was found to be effective for the treatment of bladder outlet obstruction due to BPE.</abstract><cop>Basel, Switzerland</cop><pub>Elsevier</pub><pmid>11464035</pmid><doi>10.1159/000052501</doi><tpages>7</tpages></addata></record> |
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| identifier | ISSN: 0302-2838 |
| ispartof | European urology, 2001-05, Vol.39 (5), p.544-550 |
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| subjects | Aged Aged, 80 and over Biological and medical sciences BPH Genital system. Mammary gland Holmium Humans Laser Therapy - instrumentation Laser Therapy - methods Male Medical sciences Middle Aged Prospective Studies Prostatic Hyperplasia - complications Prostatic Hyperplasia - surgery Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Technology. Biomaterials. Equipments. Material. Instrumentation Transurethral Resection of Prostate - methods Treatment Outcome Urinary Bladder Neck Obstruction - etiology Urinary Bladder Neck Obstruction - physiopathology Urinary Bladder Neck Obstruction - surgery Urodynamics - radiation effects |
| title | Transurethral Holmium: YAG Laser Prostatectomy Using a Side–Firing Fiber for Bladder Outlet Obstruction due to Benign Prostatic Enlargement: Urodynamic Evaluation of Surgical Outcome |
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