Holmium laser enucleation versus transurethral resection of the prostate: results from a 2-center, prospective, randomized trial in patients with obstructive benign prostatic hyperplasia.

作者: Francesco Montorsi , Richard Naspro , Andrea Salonia , Nazareno Suardi , Alberto Briganti

DOI: 10.1016/J.JURO.2008.03.143

关键词: Laser surgeryUrologyRandomizationMedicineSurgeryEnucleationProstateTransurethral resection of the prostateRandomized controlled trialPerioperativeProstatectomy

摘要: Purpose: To our knowledge we report the first multicenter, prospective, randomized study comparing holmium laser enucleation (HoLEP) and transurethral prostate resection (TURP) for obstructive benign prostatic hyperplasia.Materials Methods: From January to October 2002, 100 consecutive patients with symptomatic hyperplasia were at 2 centers surgical treatment HoLEP (52 in group 1) or TURP (48 2). Patients groups preoperatively assessed by scoring subjective symptoms questionnaires. Preoperative perioperative parameters also evaluated, latter 1, 6 12 months of followup.Results: At baseline all had obstruction (Schafer grade greater than 12-month followups no statistically significant differences observed between terms urodynamic findings symptom scoring. In mean total time operating room ± SD was significantly longer f...

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