author_facet Pfitzenmaier, Jesco
Gilfrich, Christian
Pritsch, Maria
Herrmann, Daniela
Buse, Stephan
Haferkamp, Axel
Djakovic, Nenad
Pahernik, Sascha
Hohenfellner, Markus
Pfitzenmaier, Jesco
Gilfrich, Christian
Pritsch, Maria
Herrmann, Daniela
Buse, Stephan
Haferkamp, Axel
Djakovic, Nenad
Pahernik, Sascha
Hohenfellner, Markus
author Pfitzenmaier, Jesco
Gilfrich, Christian
Pritsch, Maria
Herrmann, Daniela
Buse, Stephan
Haferkamp, Axel
Djakovic, Nenad
Pahernik, Sascha
Hohenfellner, Markus
spellingShingle Pfitzenmaier, Jesco
Gilfrich, Christian
Pritsch, Maria
Herrmann, Daniela
Buse, Stephan
Haferkamp, Axel
Djakovic, Nenad
Pahernik, Sascha
Hohenfellner, Markus
BJU International
Vaporization of prostates of ≥80 mL using a potassium‐titanyl‐phosphate laser: midterm‐results and comparison with prostates of
Urology
author_sort pfitzenmaier, jesco
spelling Pfitzenmaier, Jesco Gilfrich, Christian Pritsch, Maria Herrmann, Daniela Buse, Stephan Haferkamp, Axel Djakovic, Nenad Pahernik, Sascha Hohenfellner, Markus 1464-4096 1464-410X Wiley Urology http://dx.doi.org/10.1111/j.1464-410x.2008.07563.x <jats:sec><jats:title>OBJECTIVE</jats:title><jats:p>To compare the safety and outcome of potassium‐titanyl‐phosphate (KTP) Greenlight<jats:sup>TM</jats:sup> (Laserscope, AMS, Minnetonka, MN, USA) vaporization for treating benign prostatic hyperplasia (BPH) in prostates of ≥80 vs &lt;80 mL.</jats:p></jats:sec><jats:sec><jats:title>PATIENTS AND METHODS</jats:title><jats:p>In all, 204 consecutive patients were enrolled into this prospective study; 31 were excluded from analysis for various reasons, thus 173 (median age 66.8 years; 39 with prostates of ≥80 mL) were evaluated for maximum urinary flow rate (Q<jats:sub>max</jats:sub>), postvoid residual urine (PVR), the International Prostate Symptom Score (IPSS), and quality‐of‐life (QoL) score. The median follow‐up was 11.7 months. Of the 173 men, 26.6% were anaesthesiological high‐risk patients and 32.4% took anticoagulants.</jats:p></jats:sec><jats:sec><jats:title>RESULTS</jats:title><jats:p>The Q<jats:sub>max</jats:sub> improved in prostates of ≥80 mL from 6.9 mL/s before to 15.3 mL/s immediately after catheter removal, and 23.4 mL/s after 3 months (<jats:italic>P</jats:italic> &lt; 0.001). The improvement was similar to that in smaller prostates. There were equally effective changes in PVR (<jats:italic>P</jats:italic> &lt; 0.001). The IPSS decreased from 19.0 before to 7.0, 4.0 and 5.5 at 3, 6 and 12 months after surgery (<jats:italic>P</jats:italic> &lt; 0.001). Changes did not differ from those in smaller glands. The results were similar for QoL (<jats:italic>P</jats:italic> &lt; 0.001). During surgery there was no major bleeding and no transurethral resection syndrome. There was acute urinary retention after catheter removal in 10.4% of men; 4.6% developed urinary tract infections, whereas the rate was higher in men with larger prostates (10.3%). The re‐operation rate was higher in men with larger prostates, at 23.1% vs 10.4% (<jats:italic>P</jats:italic> = 0.09).</jats:p></jats:sec><jats:sec><jats:title>CONCLUSION</jats:title><jats:p>KTP laser vaporization is a safe and effective procedure for surgically treating BPH. The functional outcome in larger prostates is similar to that in smaller glands, but there was a serious trend to a higher re‐operation rate in men with larger prostates.</jats:p></jats:sec> Vaporization of prostates of ≥80 mL using a potassium‐titanyl‐phosphate laser: midterm‐results and comparison with prostates of <80 mL BJU International
doi_str_mv 10.1111/j.1464-410x.2008.07563.x
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publishDateSort 2008
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recordtype ai
record_format ai
series BJU International
source_id 49
title Vaporization of prostates of ≥80 mL using a potassium‐titanyl‐phosphate laser: midterm‐results and comparison with prostates of
title_unstemmed Vaporization of prostates of ≥80 mL using a potassium‐titanyl‐phosphate laser: midterm‐results and comparison with prostates of
title_full Vaporization of prostates of ≥80 mL using a potassium‐titanyl‐phosphate laser: midterm‐results and comparison with prostates of
title_fullStr Vaporization of prostates of ≥80 mL using a potassium‐titanyl‐phosphate laser: midterm‐results and comparison with prostates of
title_full_unstemmed Vaporization of prostates of ≥80 mL using a potassium‐titanyl‐phosphate laser: midterm‐results and comparison with prostates of
title_short Vaporization of prostates of ≥80 mL using a potassium‐titanyl‐phosphate laser: midterm‐results and comparison with prostates of
title_sort vaporization of prostates of ≥80 ml using a potassium‐titanyl‐phosphate laser: midterm‐results and comparison with prostates of <80 ml
topic Urology
url http://dx.doi.org/10.1111/j.1464-410x.2008.07563.x
publishDate 2008
physical 322-327
description <jats:sec><jats:title>OBJECTIVE</jats:title><jats:p>To compare the safety and outcome of potassium‐titanyl‐phosphate (KTP) Greenlight<jats:sup>TM</jats:sup> (Laserscope, AMS, Minnetonka, MN, USA) vaporization for treating benign prostatic hyperplasia (BPH) in prostates of ≥80 vs &lt;80 mL.</jats:p></jats:sec><jats:sec><jats:title>PATIENTS AND METHODS</jats:title><jats:p>In all, 204 consecutive patients were enrolled into this prospective study; 31 were excluded from analysis for various reasons, thus 173 (median age 66.8 years; 39 with prostates of ≥80 mL) were evaluated for maximum urinary flow rate (Q<jats:sub>max</jats:sub>), postvoid residual urine (PVR), the International Prostate Symptom Score (IPSS), and quality‐of‐life (QoL) score. The median follow‐up was 11.7 months. Of the 173 men, 26.6% were anaesthesiological high‐risk patients and 32.4% took anticoagulants.</jats:p></jats:sec><jats:sec><jats:title>RESULTS</jats:title><jats:p>The Q<jats:sub>max</jats:sub> improved in prostates of ≥80 mL from 6.9 mL/s before to 15.3 mL/s immediately after catheter removal, and 23.4 mL/s after 3 months (<jats:italic>P</jats:italic> &lt; 0.001). The improvement was similar to that in smaller prostates. There were equally effective changes in PVR (<jats:italic>P</jats:italic> &lt; 0.001). The IPSS decreased from 19.0 before to 7.0, 4.0 and 5.5 at 3, 6 and 12 months after surgery (<jats:italic>P</jats:italic> &lt; 0.001). Changes did not differ from those in smaller glands. The results were similar for QoL (<jats:italic>P</jats:italic> &lt; 0.001). During surgery there was no major bleeding and no transurethral resection syndrome. There was acute urinary retention after catheter removal in 10.4% of men; 4.6% developed urinary tract infections, whereas the rate was higher in men with larger prostates (10.3%). The re‐operation rate was higher in men with larger prostates, at 23.1% vs 10.4% (<jats:italic>P</jats:italic> = 0.09).</jats:p></jats:sec><jats:sec><jats:title>CONCLUSION</jats:title><jats:p>KTP laser vaporization is a safe and effective procedure for surgically treating BPH. The functional outcome in larger prostates is similar to that in smaller glands, but there was a serious trend to a higher re‐operation rate in men with larger prostates.</jats:p></jats:sec>
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author Pfitzenmaier, Jesco, Gilfrich, Christian, Pritsch, Maria, Herrmann, Daniela, Buse, Stephan, Haferkamp, Axel, Djakovic, Nenad, Pahernik, Sascha, Hohenfellner, Markus
author_facet Pfitzenmaier, Jesco, Gilfrich, Christian, Pritsch, Maria, Herrmann, Daniela, Buse, Stephan, Haferkamp, Axel, Djakovic, Nenad, Pahernik, Sascha, Hohenfellner, Markus, Pfitzenmaier, Jesco, Gilfrich, Christian, Pritsch, Maria, Herrmann, Daniela, Buse, Stephan, Haferkamp, Axel, Djakovic, Nenad, Pahernik, Sascha, Hohenfellner, Markus
author_sort pfitzenmaier, jesco
container_issue 3
container_start_page 322
container_title BJU International
container_volume 102
description <jats:sec><jats:title>OBJECTIVE</jats:title><jats:p>To compare the safety and outcome of potassium‐titanyl‐phosphate (KTP) Greenlight<jats:sup>TM</jats:sup> (Laserscope, AMS, Minnetonka, MN, USA) vaporization for treating benign prostatic hyperplasia (BPH) in prostates of ≥80 vs &lt;80 mL.</jats:p></jats:sec><jats:sec><jats:title>PATIENTS AND METHODS</jats:title><jats:p>In all, 204 consecutive patients were enrolled into this prospective study; 31 were excluded from analysis for various reasons, thus 173 (median age 66.8 years; 39 with prostates of ≥80 mL) were evaluated for maximum urinary flow rate (Q<jats:sub>max</jats:sub>), postvoid residual urine (PVR), the International Prostate Symptom Score (IPSS), and quality‐of‐life (QoL) score. The median follow‐up was 11.7 months. Of the 173 men, 26.6% were anaesthesiological high‐risk patients and 32.4% took anticoagulants.</jats:p></jats:sec><jats:sec><jats:title>RESULTS</jats:title><jats:p>The Q<jats:sub>max</jats:sub> improved in prostates of ≥80 mL from 6.9 mL/s before to 15.3 mL/s immediately after catheter removal, and 23.4 mL/s after 3 months (<jats:italic>P</jats:italic> &lt; 0.001). The improvement was similar to that in smaller prostates. There were equally effective changes in PVR (<jats:italic>P</jats:italic> &lt; 0.001). The IPSS decreased from 19.0 before to 7.0, 4.0 and 5.5 at 3, 6 and 12 months after surgery (<jats:italic>P</jats:italic> &lt; 0.001). Changes did not differ from those in smaller glands. The results were similar for QoL (<jats:italic>P</jats:italic> &lt; 0.001). During surgery there was no major bleeding and no transurethral resection syndrome. There was acute urinary retention after catheter removal in 10.4% of men; 4.6% developed urinary tract infections, whereas the rate was higher in men with larger prostates (10.3%). The re‐operation rate was higher in men with larger prostates, at 23.1% vs 10.4% (<jats:italic>P</jats:italic> = 0.09).</jats:p></jats:sec><jats:sec><jats:title>CONCLUSION</jats:title><jats:p>KTP laser vaporization is a safe and effective procedure for surgically treating BPH. The functional outcome in larger prostates is similar to that in smaller glands, but there was a serious trend to a higher re‐operation rate in men with larger prostates.</jats:p></jats:sec>
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id ai-49-aHR0cDovL2R4LmRvaS5vcmcvMTAuMTExMS9qLjE0NjQtNDEweC4yMDA4LjA3NTYzLng
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spelling Pfitzenmaier, Jesco Gilfrich, Christian Pritsch, Maria Herrmann, Daniela Buse, Stephan Haferkamp, Axel Djakovic, Nenad Pahernik, Sascha Hohenfellner, Markus 1464-4096 1464-410X Wiley Urology http://dx.doi.org/10.1111/j.1464-410x.2008.07563.x <jats:sec><jats:title>OBJECTIVE</jats:title><jats:p>To compare the safety and outcome of potassium‐titanyl‐phosphate (KTP) Greenlight<jats:sup>TM</jats:sup> (Laserscope, AMS, Minnetonka, MN, USA) vaporization for treating benign prostatic hyperplasia (BPH) in prostates of ≥80 vs &lt;80 mL.</jats:p></jats:sec><jats:sec><jats:title>PATIENTS AND METHODS</jats:title><jats:p>In all, 204 consecutive patients were enrolled into this prospective study; 31 were excluded from analysis for various reasons, thus 173 (median age 66.8 years; 39 with prostates of ≥80 mL) were evaluated for maximum urinary flow rate (Q<jats:sub>max</jats:sub>), postvoid residual urine (PVR), the International Prostate Symptom Score (IPSS), and quality‐of‐life (QoL) score. The median follow‐up was 11.7 months. Of the 173 men, 26.6% were anaesthesiological high‐risk patients and 32.4% took anticoagulants.</jats:p></jats:sec><jats:sec><jats:title>RESULTS</jats:title><jats:p>The Q<jats:sub>max</jats:sub> improved in prostates of ≥80 mL from 6.9 mL/s before to 15.3 mL/s immediately after catheter removal, and 23.4 mL/s after 3 months (<jats:italic>P</jats:italic> &lt; 0.001). The improvement was similar to that in smaller prostates. There were equally effective changes in PVR (<jats:italic>P</jats:italic> &lt; 0.001). The IPSS decreased from 19.0 before to 7.0, 4.0 and 5.5 at 3, 6 and 12 months after surgery (<jats:italic>P</jats:italic> &lt; 0.001). Changes did not differ from those in smaller glands. The results were similar for QoL (<jats:italic>P</jats:italic> &lt; 0.001). During surgery there was no major bleeding and no transurethral resection syndrome. There was acute urinary retention after catheter removal in 10.4% of men; 4.6% developed urinary tract infections, whereas the rate was higher in men with larger prostates (10.3%). The re‐operation rate was higher in men with larger prostates, at 23.1% vs 10.4% (<jats:italic>P</jats:italic> = 0.09).</jats:p></jats:sec><jats:sec><jats:title>CONCLUSION</jats:title><jats:p>KTP laser vaporization is a safe and effective procedure for surgically treating BPH. The functional outcome in larger prostates is similar to that in smaller glands, but there was a serious trend to a higher re‐operation rate in men with larger prostates.</jats:p></jats:sec> Vaporization of prostates of ≥80 mL using a potassium‐titanyl‐phosphate laser: midterm‐results and comparison with prostates of <80 mL BJU International
spellingShingle Pfitzenmaier, Jesco, Gilfrich, Christian, Pritsch, Maria, Herrmann, Daniela, Buse, Stephan, Haferkamp, Axel, Djakovic, Nenad, Pahernik, Sascha, Hohenfellner, Markus, BJU International, Vaporization of prostates of ≥80 mL using a potassium‐titanyl‐phosphate laser: midterm‐results and comparison with prostates of , Urology
title Vaporization of prostates of ≥80 mL using a potassium‐titanyl‐phosphate laser: midterm‐results and comparison with prostates of
title_full Vaporization of prostates of ≥80 mL using a potassium‐titanyl‐phosphate laser: midterm‐results and comparison with prostates of
title_fullStr Vaporization of prostates of ≥80 mL using a potassium‐titanyl‐phosphate laser: midterm‐results and comparison with prostates of
title_full_unstemmed Vaporization of prostates of ≥80 mL using a potassium‐titanyl‐phosphate laser: midterm‐results and comparison with prostates of
title_short Vaporization of prostates of ≥80 mL using a potassium‐titanyl‐phosphate laser: midterm‐results and comparison with prostates of
title_sort vaporization of prostates of ≥80 ml using a potassium‐titanyl‐phosphate laser: midterm‐results and comparison with prostates of <80 ml
title_unstemmed Vaporization of prostates of ≥80 mL using a potassium‐titanyl‐phosphate laser: midterm‐results and comparison with prostates of
topic Urology
url http://dx.doi.org/10.1111/j.1464-410x.2008.07563.x