[Holmium laser enucleation for the large (220 ml) prostatic adenoma].
A 63-year-old male with symptomatic benign prostatic enlargement (220 ml as estimated by transrectal ultrasonography) was underwent transurethral holmium laser enucleation. Total operative time was 211 minutes and actual weight of tissue enucleated was 156 grams. There was no perioperative hyponatremia and a blood transfusion. The duration of catheterization was 3 days and the hospital stay was 5 days. Three months after treatment, the international prostate symptom score (IPSS) decreased from 19 preoperatively to 1. The quality of life (QOL) index decreased from 6 preoperatively to 1, whilst the maximum flow rate (Qmax) increased from 7 ml/sec preoperatively to 58 ml/sec.
Department of Urology, Hakuaikai Hospital.
Osamu
O
Mochida
Kazuyuki
K
Sagiyama
Narihito
N
Seki
Seiji
S
Naitou
D006695:Holmium; D006801:Humans; D053685:Laser Therapy; D008297:Male; D008875:Middle Aged; D011467:Prostate / Q000000981:diagnostic imaging / Q000473:pathology; D011470:Prostatic Hyperplasia / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D020728:Transurethral Resection of Prostate; D014463:Ultrasonography
D006695:Holmium