Laser + bipolar resection helpful for large prostates

October 26, 2012

(HealthDay)—Bipolar transurethral resection of the prostate (TURP) in combination with high-intensity diode laser (DL + b-TURP) is feasible for treatment of benign prostatic hyperplasia (BPH) in large prostates, according to research published in the November issue of Lasers in Surgery and Medicine.

Chien-Hsu Chen, M.D., from the Chang Gung University College of Medicine in Kaohsiung, Taiwan, and colleagues retrospectively analyzed patients with (LUTS) secondary to BPH with prostates larger than 80 mL, undergoing monopolar TURP (36 patients) or DL + b-TURP (37 patients), to compare efficacy and safety. Functional parameters were assessed preoperatively and at follow-up.

The researchers found that preoperative prostate volume was 110.8 ± 28.9 mL in the DL + b-TURP group and 103.7 ± 31.2 mL in the TURP group. Catheterization time and hospital stay were significantly in favor of the DL + b-TURP group, while the TURP group had significantly shorter operative time. The TURP group also had a significantly greater decrease in hemoglobin. Both groups were comparable with respect to late complications. Significant improvements in functional outcomes were seen for both groups during the 24-month follow-up.

"Comparing the difference between DL + b-TURP and monopolar TURP for the treatment of large prostates, this indicated that the former could offer excellent intraoperative hemostasis, shorter catheterization time, and shorter hospital stay," the authors write. "In consideration of safety and efficacy, this combination may be a feasible strategy in the management of large prostates."

Explore further: Enlarged prostate: decade-long study demonstrates immediate and long-term benefits of holmium laser treatment

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Enlarged prostate: decade-long study demonstrates immediate and long-term benefits of holmium laser treatment

May 20, 2011
(Medical Xpress) -- New research presented at the Annual Meeting of the American Urology Association (AUA) in Washington, DC demonstrates that holmium laser therapy is a safe and durable treatment option for Benign Prostatic ...

Interventional radiology: Potential breakthrough to treat men's enlarged prostate

March 25, 2012
A new interventional radiology treatment, prostatic artery embolization, may bring hope to men with debilitating symptoms caused by an enlarged prostate, say the group of researchers who pioneered its use. The findings were ...

Recommended for you

Children best placed to explain facts of surgery to patients, say experts

December 13, 2017
Getting children to design patient information leaflets may improve patient understanding before they have surgery, finds an article in the Christmas issue of The BMJ.

Drug may help surgical patients stop opioids sooner

December 13, 2017
(HealthDay)—Opioid painkillers after surgery can be the first step toward addiction for some patients. But a common drug might cut the amount of narcotics that patients need, a new study finds.

Burn victim saved by skin grafts from identical twin (Update)

November 23, 2017
A man doomed to die after suffering burns across 95 percent of his body was saved by skin transplants from his identical twin in a world-first operation, French doctors said Thursday.

Is a common shoulder surgery useless?

November 21, 2017
(HealthDay)—New research casts doubt on the true effectiveness of a common type of surgery used to ease shoulder pain.

Study shows electric bandages can fight biofilm infection, antimicrobial resistance

November 6, 2017
Researchers at The Ohio State University Wexner Medical Center have shown - for the first time - that special bandages using weak electric fields to disrupt bacterial biofilm infection can prevent infections, combat antibiotic ...

Obesity increases incidence, severity, costs of knee dislocations

November 3, 2017
A new study of more than 19,000 knee dislocation cases in the U.S. between 2000 and 2012 provides a painful indication of how the nation's obesity epidemic is changing the risk, severity and cost of a traumatic injury.

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.