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

Recommended for you

3-D bioprinted human cartilage cells can be implanted

March 23, 2017

Swedish researchers at Sahlgrenska Academy and Chalmers University of Technology have successfully induced human cartilage cells to live and grow in an animal model, using 3-D bioprinting. The results will move development ...

MRI-powered mini-robots could offer targeted treatment

March 7, 2017

Invasive surgical techniques - cutting through the breastbone for open heart surgery or making a large incision to inspect an abdominal tumor - allow physicians to effectively treat disease but can lead to sometimes serious ...

New method rescues donor organs to save lives

March 6, 2017

A multidisciplinary team led by Gordana Vunjak-Novakovic, Mikati Foundation Professor of Biomedical Engineering and Medical Sciences at Columbia Engineering, and Matt Bacchetta, associate professor of surgery at Columbia ...

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.