PMID- 7523960 OWN - NLM STAT- MEDLINE DCOM- 19941027 LR - 20161123 IS - 0028-2162 (Print) IS - 0028-2162 (Linking) VI - 138 IP - 35 DP - 1994 Aug 27 TI - [Laser prostatectomy as alternative to transurethral prostate resection in benign prostatic hyperplasia]. PG - 1760-3 AB - OBJECTIVE: Assessment of the results of laser prostatectomy, as a treatment for benign prostatic hyperplasia (BPH). DESIGN: Prospective case control study. SETTING: University Hospital Utrecht, the Netherlands. METHOD: Between February 1992 and May 1993, 54 men with their micturition complaints due to BPH were treated with laser prostatectomy (TULIP system). Results were assessed using the international prostatic symptom score (IPSS), the maximal flow and urodynamic tests. The results were compared retrospectively with results of transurethral resection of the prostate (TURP; n = 40): both groups were urodynamically identical. RESULTS: Of the 54 patients, 10 could not be evaluated 6 months after treatment (5 of them underwent TURP or a second laser prostatectomy). In 40 patients complete evaluation including urodynamics before and six months after treatment was possible. A significant decrease in the symptom score from 19.3 (SD: 7.6) to 6.3 (SD: 5.4) and increase of the maximal flow during pressure-flow studies from 9.6 to 15.8 ml per second were observed. The decrease of the voiding pressure at 6 months after TURP in comparison with laser prostatectomy was close to significance (p = 0.05); the other improvements after urodynamics were comparable. CONCLUSION: Laser prostatectomy is a promising new therapy for BPH. FAU - Boon, T A AU - Boon TA AD - Afd. Urologie, Academisch Ziekenhuis, Utrecht. FAU - van Swol, C F AU - van Swol CF FAU - van Venrooij, G E AU - van Venrooij GE FAU - de Gier, R P AU - de Gier RP FAU - Verdaasdonk, R M AU - Verdaasdonk RM LA - dut PT - Clinical Trial PT - Journal Article TT - Laserprostatectomie als alternatief voor transurethrale prostaatresectie bij benigne prostaathyperplasie. PL - Netherlands TA - Ned Tijdschr Geneeskd JT - Nederlands tijdschrift voor geneeskunde JID - 0400770 SB - IM MH - Aged MH - Case-Control Studies MH - Follow-Up Studies MH - Humans MH - *Laser Therapy/methods MH - Male MH - Middle Aged MH - Postoperative Period MH - Prospective Studies MH - Prostate/diagnostic imaging MH - Prostatectomy/*methods MH - Prostatic Hyperplasia/*surgery MH - Reoperation MH - Ultrasonography MH - Urodynamics EDAT- 1994/08/27 00:00 MHDA- 1994/08/27 00:01 CRDT- 1994/08/27 00:00 PHST- 1994/08/27 00:00 [pubmed] PHST- 1994/08/27 00:01 [medline] PHST- 1994/08/27 00:00 [entrez] PST - ppublish SO - Ned Tijdschr Geneeskd. 1994 Aug 27;138(35):1760-3.