Abstract
Introduction and Objective: We evaluate the safety and efficacy of catheter-free LBO laser PVP for the treatment of lower urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia (BPH). Methods: We prospectively evaluated our initial LBO laser PVP experience and the need for urethral catheterization. Results: Seventy consecutive patients were identified. 49 (70%) were discharged without (C-) and 21 (30%) were discharged with (C+) a urethral catheter. There were no significant differences in pre-operative parameters, including age (C-: 65 ± 10 vs. C+: 69 ± 9 years), AUASS (C-: 22 ± 6 vs. C+: 21 ± 6), Qmax (C-: 10 ± 4 vs. C+: 8 ± 3 ml/second), PVR (C-: 62 ± 105 vs. C+: 57 ± 82 ml) and prostate volume (C-: 65 ± 35 vs. C+: 86 ± 53 ml). There were no significant differences in laser time and energy usage. AUASS, Qmax and PVR values showed significant improvement within each group (P < 0.05), but there were no significant differences between the two groups. All were outpatient procedures. 2/70 (2.9%) patients required catheter reinsertion in C+. The overall incidence of adverse events was low and did not differ between the two groups. Conclusions: Our experience suggests that catheter-free LBO laser PVP is safe and effective for the treatment of LUTS secondary to BPH.
Original language | English |
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Pages (from-to) | 529-534 |
Number of pages | 6 |
Journal | Lasers in Surgery and Medicine |
Volume | 40 |
Issue number | 8 |
DOIs | |
Publication status | Published - Oct 2008 |
Externally published | Yes |
Keywords
- Benign prostatic hyperplasia
- Catheter duration
- KTP laser
- LBO laser
- Lower urinary tract symptoms
- Outcomes
ASJC Scopus subject areas
- Surgery
- Dermatology