120 W Greenlight HPS Laser Photoselective Vaporization of the Prostate for Treatment of Benign Prostatic Hyperplasia in Men with Detrusor Underactivity
Choi Sae-Woong, 최용선, 배웅진, 김수진, 조혁진, 홍성후, 이지열, 황태곤, 김세웅,
소속 상세정보
( Choi Sae-Woong )
Seoul St.Mary’s Hospital Department of Urology
최용선 ( Choi Yong-Sun )
Seoul St.Mary’s Hospital Department of Urology
배웅진 ( Bae Woong-Jin )
Seoul St.Mary’s Hospital Department of Urology
김수진 ( Kim Su-Jin )
Seoul St.Mary’s Hospital Department of Urology
조혁진 ( Cho Hyuk-Jin )
Seoul St.Mary’s Hospital Department of Urology
홍성후 ( Hong Sung-Hoo )
Seoul St.Mary’s Hospital Department of Urology
이지열 ( Lee Ji-Youl )
Seoul St.Mary’s Hospital Department of Urology
황태곤 ( Hwang Tae-Kon )
Seoul St.Mary’s Hospital Department of Urology
김세웅 ( Kim Sae-Woong )
Seoul St.Mary’s Hospital Department of Urology
KMID : 0358320110520120824
Abstract
Purpose: Most men with benign prostatic hyperplasia (BPH) have bothersome lower urinary tract symptoms (LUTS). This study aimed to investigate the safety and efficacy of high-performance system (HPS) laser photoselective vaporization of the prostate (PVP) for the treatment of BPH in men with detrusor underactivity (DU).
Materials and Methods: From March 2009, 371 patients with BPH were divided into 2 groups according to the findings of preoperative urodynamic study: 239 (64.4%) patients with bladder outlet obstruction (BOO) and 132 (35.6%) patients with bladder outlet obstruction with detrusor underactivity (BOO+DU). 120 W HPS laser PVP was performed to resolve the BOO. The perioperative data and postoperative results at 1 month and 12 months, including the International Prostate Symptom Score (IPSS), maximum urinary flow (Qmax), and postvoid residual urine (PVR) values, were evaluated.
Results: Compared with the preoperative parameters, significant improvements in IPSS, Qmax, and PVR were observed in each group at 1 and 12 months after the operation. In addition, IPSS, Qmax, and PVR were not significantly different between the BOO and BOO+DU groups at 1 and 12 months after the operation.
Conclusions: Surgery to relieve BOO in the patients with BPH seems to be an appropriate treatment modality regardless of the existence of DU.
키워드
Bladder dysfunction; Laser therapy; Prostatic hyperplasia
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