Risk factors for long-term outcome in photoselective vaporization of the prostate
OBJECTIVE: The aim of this retrospective cohort study was to investigate long-term risk factors for reintervention after photoselective vaporization of the prostate (PVP). - MATERIAL AND METHODS: In total, 566 consecutive patients with benign prostatic hyperplasia (BPH) underwent PVP between Februar...
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| Hauptverfasser: | , , , , , , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
29 Apr 2016
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Scandinavian journal of urology
Year: 2016, Jahrgang: 50, Heft: 4, Pages: 313-318 |
| ISSN: | 2168-1813 |
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| Verfasserangaben: | Ionel Valentin Popeneciu, Gencay Hatiboglu, Timur Hassan Kuru, Sandra Milakovic, Gerald Freier, Boris Hadaschik, Markus Hohenfellner and Sascha Pahernik |
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| 245 | 1 | 0 | |a Risk factors for long-term outcome in photoselective vaporization of the prostate |c Ionel Valentin Popeneciu, Gencay Hatiboglu, Timur Hassan Kuru, Sandra Milakovic, Gerald Freier, Boris Hadaschik, Markus Hohenfellner and Sascha Pahernik |
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| 520 | |a OBJECTIVE: The aim of this retrospective cohort study was to investigate long-term risk factors for reintervention after photoselective vaporization of the prostate (PVP). - MATERIAL AND METHODS: In total, 566 consecutive patients with benign prostatic hyperplasia (BPH) underwent PVP between February 2005 and April 2011. Mean follow-up was 36.42 ± 21.4 months. Perioperative parameters were evaluated, including surgery time, delivered energy, catheterization and duration of hospitalization, intraoperative and postoperative complications, as well as reintervention rates in manifest reobstruction. Follow-up comprised the International Prostate Symptom Score and quality of life questionnaire (IPPS-QoL), maximal flow rate (Qmax) and postvoiding residual volume (PVR). - RESULTS: Mean operation time was 69.8 ± 29.3 min. Mean catheterization and hospitalization times were 1.49 ± 1.19 days and 2.67 ± 2.19 days, respectively. There was ongoing oral anticoagulation for 20.1% of the patients (n = 114). The overall retreatment rate was 17.6% (101 out of 566 patients) after a mean time of 9.21 months (range 0-64 months). Of these, 88 patients (15.55%) had a reobstruction and 13 (2.3%) had urethral strictures. In multivariate analysis, age, prostate volume, total applied energy, specific laser energy usage, preoperative symptomatic (IPSS/QoL) and functional obstruction grade (Qmax/PVR) were not identified as risk factors for reintervention. A poor postoperative Qmax (< 15 ml/s) measured immediately after removal of the transurethral catheter was identified as a risk factor for undergoing a reintervention (p = 0.005). - CONCLUSIONS: PVP is an effective method for BPH treatment, allowing for sustained long-term improvement of the voiding function. Poor immediate postoperative urinary flow after removal of the transurethral catheter (Qmax < 15 ml/s) is a significant risk factor for reintervention. | ||
| 650 | 4 | |a Adult | |
| 650 | 4 | |a Aged | |
| 650 | 4 | |a Aged, 80 and over | |
| 650 | 4 | |a Benign prostatic obstruction | |
| 650 | 4 | |a Cohort Studies | |
| 650 | 4 | |a GreenLight laser | |
| 650 | 4 | |a Humans | |
| 650 | 4 | |a long-term follow-up | |
| 650 | 4 | |a lower urinary tract symptoms | |
| 650 | 4 | |a Male | |
| 650 | 4 | |a Middle Aged | |
| 650 | 4 | |a photoselective vaporization of the prostate | |
| 650 | 4 | |a prostate vaporization | |
| 650 | 4 | |a Prostatic Hyperplasia | |
| 650 | 4 | |a reintervention | |
| 650 | 4 | |a Retrospective Studies | |
| 650 | 4 | |a risk factors | |
| 650 | 4 | |a Risk Factors | |
| 650 | 4 | |a Time Factors | |
| 650 | 4 | |a Transurethral Resection of Prostate | |
| 650 | 4 | |a Treatment Outcome | |
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