[Laser prostatectomy as alternative to transurethral prostate resection in benign prostatic hyperplasia].
OBJECTIVE
Assessment of the results of laser prostatectomy, as a treatment for benign prostatic hyperplasia (BPH).


METHODS
Prospective case control study.


METHODS
University Hospital Utrecht, the Netherlands.


METHODS
Between February 1992 and May 1993, 54 men with their micturition complaints due to BPH were treated with laser prostatectomy (TULIP system). Results were assessed using the international prostatic symptom score (IPSS), the maximal flow and urodynamic tests. The results were compared retrospectively with results of transurethral resection of the prostate (TURP; n = 40): both groups were urodynamically identical.


RESULTS
Of the 54 patients, 10 could not be evaluated 6 months after treatment (5 of them underwent TURP or a second laser prostatectomy). In 40 patients complete evaluation including urodynamics before and six months after treatment was possible. A significant decrease in the symptom score from 19.3 (SD: 7.6) to 6.3 (SD: 5.4) and increase of the maximal flow during pressure-flow studies from 9.6 to 15.8 ml per second were observed. The decrease of the voiding pressure at 6 months after TURP in comparison with laser prostatectomy was close to significance (p = 0.05); the other improvements after urodynamics were comparable.


CONCLUSIONS
Laser prostatectomy is a promising new therapy for BPH.
Boon
T A
TA
Afd. Urologie, Academisch Ziekenhuis, Utrecht.
van Swol
C F
CF
van Venrooij
G E
GE
de Gier
R P
RP
Verdaasdonk
R M
RM
D000368:Aged; D016022:Case-Control Studies; D005500:Follow-Up Studies; D006801:Humans; D053685:Laser Therapy / Q000379:methods; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D011446:Prospective Studies; D011467:Prostate / Q000000981:diagnostic imaging; D011468:Prostatectomy / Q000379:methods*; D011470:Prostatic Hyperplasia / Q000601:surgery*; D012086:Reoperation; D014463:Ultrasonography; D014563:Urodynamics