[Photoselective vaporization with the 80-watt KTP-laser (kalium-titanyl-phosphate) and low-hydraulic-pressure TURP in the treatment of BPH: our experience with 230 cases].
OBJECTIVE
To determine the effectiveness of the 80 watt KTP-laser method for the vaporization and ablation of the symptomatic BPH. Also the results when combining the KTP-laser with the RTU-P and their repercussion on the haemoglobin are analysed.


METHODS
230 patients with symptomatic BPH were treated between August 2004 and July 2006 with the KTP-Laser or combined with RTU-P. The additional Resection was carried out in those patients with great adenomas or having a big middle lobe. The ablative effect was controlled at the end of the operation with TRUS (transrectal ultrasound).


RESULTS
230 patients were treated in 2 groups. The group 1 (n: 50) just by laser treatment and small adenomas, the haemoglobin was reduced a 3.2% and nobody required a transfusion. Group 2 (n: 180) with combined treatment of KTP-laser and TUR-P in great adenomas, the haemoglobin was reduced in average 13.7% after the intervention; 2 patients (1.1%) needed a transfusion.


CONCLUSIONS
Our study shows the advantages of combining both, the advantages to combine both surgical procedures to mainly obtain a better result in the ablation of the prostate adenoma in prostates of great size.
Verger-Kuhnke
Andrés B
AB
Reuter Klink, Servicio de Urología, Hospital Karl-Olga, Hospital Escuela Dependiente de la Universidad de Ulm, Stuttgart, Estado Federal de Baden, Württemberg, Alemania. andresbvergel@aol.com
Reuter
Matthias A
MA
Epple
Walter
W
Ungemach
Gerd
G
Beccaría
María L
ML
D000368:Aged; D000369:Aged, 80 and over; D001803:Blood Transfusion / Q000706:statistics & numerical data; D003131:Combined Modality Therapy; D005500:Follow-Up Studies; D006454:Hemoglobins / Q000032:analysis; D006801:Humans; D053685:Laser Therapy / Q000295:instrumentation*; D008297:Male; D008875:Middle Aged; D010710:Phosphates; D011183:Postoperative Complications / Q000453:epidemiology; D011312:Pressure; D011446:Prospective Studies; D011470:Prostatic Hyperplasia / Q000097:blood / Q000000981:diagnostic imaging / Q000601:surgery*; D011788:Quality of Life; D014025:Titanium; D020728:Transurethral Resection of Prostate; D016896:Treatment Outcome; D014463:Ultrasonography
D006454:Hemoglobins; D010710:Phosphates; C064806:potassium titanylphosphate; D014025:Titanium