Abstract

VERGER-KUHNKE, Andrés B. et al. Photoselective vaporization with the 80 Watt KTP-Laser (Kalium-Tytanyl-Phosphat) and low-hydraulic pressure turp in the treatment of BHP: our experience with 230 cases. Arch. Esp. Urol. [online]. 2007, vol.60, n.2, pp.167-177. ISSN 0004-0614.

Objectives: To determine the effectiveness of the 80 watt KTP-laser method for the vaporization and ablation of the symptomatic BPH. Also the results when combining the KTP-laser with the RTU-P and their repercussion on the haemoglobin are analysed. Method: 230 patients with symptomatic BPH were treated between August 2004 and July 2006 with the KTP-Laser or combined with RTU-P. The additional Resection was carried out in those patients with great adenomas or having a big middle lobe. The ablative effect was controlled at the end of the operation with TRUS (transrectal ultrasound). Results: 230 patients were treated in 2 groups. The group 1 (n: 50) just by laser treatment and small adenomas, the haemoglobin was reduced a 3.2% and nobody required a transfusion. Group 2 (n: 180) with combined treatment of KTP-laser and TUR-P in great adenomas, the haemoglobin was reduced in average 13.7% after the intervention; 2 patients (1.1%) needed a transfusion. Conclusion: Our study shows the advantages of combining both, the advantages to combine both surgical procedures to mainly obtain a better result in the ablation of the prostate adenoma in prostates of great size.

Keywords : 80 watt KTP-Laser; TURP; BPH; TRUS; Peak-flow; Combined treatment.

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