Nd:YAG-Laser Combined with Transurethral Resection (TUR) An Outpatient Surgical Therapy of Benign Prostate Hyperplasia

• Published in: Medical laser application 2001, Vol.16 (1), p.23-29
• Main Authors: Leistenschneider, Wolfgang, Karst, Jörg, Leistenschneider, Patrick
• Format: Article
• Language: English
• Subjects: Benign prostatic hyperplasia; laser coagulation; outpatient general anaesthesia; outpatient prostatic surgery; TUR-P
• ISSN: 1615-1615; 1878-3228
• DOI: 10.1078/1615-1615-00005

In 122 / 130 patients suffering from an advanced benign prostatic hyperplasia (BPH) it was possible, with 252 operations in total, to perform an almost non-bleeding, thus ambulatory, transurethral resection of the prostate (TUR-P) 7 days after non-contact laser coagulation according to Aeikens (1). In 130 patients with laser coagulation the morbidity rate was rather low (0.8%) while only 1 patient had to be hospitalised. In 122 patients with TUR-P, the intra-operative bleeding could be reduced to a minimum. The total morbitity rate was also clearly reduced versus the conventional inpatient TUR-P. Delayed post-operative hemorrhages that required treatment were observed in 0.8% of the patients, only. The effectiveness showing a prostate volume reduction of almost 60%, an improvement of the maximum flow rate by 265% and a residual urine reduction by 87% within 9 to 12 months post-operatively meets the state of the art, or is even better than that. When utilized by an experienced surgeon, the results of outpatient TUR-P, which as far as we know are reported hereinafter for the first time in references, correspond in terms of their low morbidity rate to those of conventional procedures, such as TUMT, TUNA and various laser applications, at the same time achieving the high effectiveness of the classical inpatient TUR-P.