title: Long-term outcome following thulium vaporesection of the prostate.
abstract: The continuous wave 2-μm Thulium Laser has been introduced as potential technology with both high efficiency and safe practice; although little data have been shown regarding the long-term outcomes.
  
  
  
  To analyze the long-term outcomes after thulium vaporesection of the prostate (ThuVaRP).
  
  
  
  ThuVaRP was performed using the continuous wave, 2-μm Thulium: YAG laser at 70 W. The perioperative and post-operative follow-up data were analyzed.
  
  
  
  The average age at surgery was 71.5 (range 55-94 years). The median prostate size was 60.1 g (range 36.3-109.8 g). A median operation time was noted at 44.8 ± 6.5 minutes, while the median catheterization time was 3.5 ± 0.5 days. In regards to hospital stay, most patients had an average duration of 5.5 ± 1.5 days. Minor complications requiring non-interventional treatment happened in 237 (36.24%) of 654 patients, while major complications requiring re-interventions occurred in one patient (0.15%). During a 60-month follow-up, bladder neck fibrosis occurred in 1.22% of the patients. A BPH recurrence happened in 17 (2.60%) patients, of which 14 patients (2.14%) received a second surgery. In comparison to the pre-operative baseline, the patients Qmax, PVR volume, IPSS, and Qol scores all improved significantly (P < 0.01) at time of discharge. This continued into the post-operative follow-up visits (3-6-12-18-14-26-48-60 months).
  
  
  
  ThuVaRP is both an effective and safe treatment procedure for symptomatic BPO (with a low occurrence of complications). Lasers Surg. Med. 48:505-510, 2016. © 2016 Wiley Periodicals, Inc.
authors.affiliation: Department of Urology, 89th Hospital of PLA, Weifang, Shandong, 261000, People's Republic of China.
authors.forename: Haiyi
authors.initials: H
authors.lastname: Yu
authors.affiliation: Department of Urology, Qilu Hospital, Shandong University, Jinan, Shandong, 250012, People's Republic of China.
authors.forename: Zhaocun
authors.initials: Z
authors.lastname: Zhang
authors.affiliation: Department of Urology, Qilu Hospital, Shandong University, Jinan, Shandong, 250012, People's Republic of China.
authors.forename: Yaofeng
authors.initials: Y
authors.lastname: Zhu
authors.affiliation: Department of Urology, Qilu Hospital, Shandong University, Jinan, Shandong, 250012, People's Republic of China.
authors.forename: Jun
authors.initials: J
authors.lastname: Chen
authors.affiliation: Department of Urology, Qilu Hospital, Shandong University, Jinan, Shandong, 250012, People's Republic of China.
authors.forename: Xuewen
authors.initials: X
authors.lastname: Jiang
authors.affiliation: Department of Urology, Qilu Hospital, Shandong University, Jinan, Shandong, 250012, People's Republic of China.
authors.forename: Hui
authors.initials: H
authors.lastname: Meng
authors.affiliation: Department of Urology, Qilu Hospital, Shandong University, Jinan, Shandong, 250012, People's Republic of China.
authors.forename: Benkang
authors.initials: B
authors.lastname: Shi
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005500:Follow-Up Studies; D006801:Humans; D053844:Lasers, Solid-State / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011468:Prostatectomy / Q000379:methods*; D011470:Prostatic Hyperplasia / Q000601:surgery*; D016896:Treatment Outcome
keywords: BPO; ThuVaRP; complication; long-term outcome; thulium laser