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Photoselektive Vaporisation der Prostata

Erfahrungen mit Prostataadenomen >80 cm3

Photoselective vaporization of the prostate

Experience with prostate adenomas >80 cm3

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Zusammenfassung

Hintergrund

Wir berichten über unsere Erfahrungen mit der photoselektiven Vaporisation der Prostata (PVP) bei Patienten mit symptomatischer benigner Prostatahyperplasie (BPH) und Prostataadenomen >80 cm3.

Patienten und Methode

201 Patienten mit BPH wurden in die Studie eingeschlossen; 51 (25,4%) Patienten hatten ein Prostatavolumen >80 cm3 und 150 (74,6%) Patienten ein Volumen <80 cm3 im transrektalen Ultraschall.

Ergebnisse

Die mittlere Operationszeit bei Patienten mit großen Adenomen war akzeptabel (79 min). Es wurden keine transfusionsbedürftigen Blutungen oder TUR-Syndrome beobachtet. Die maximale Harnflussrate verbesserte sich bei Patienten mit großen Adenomen um 135%, 136% und 132% nach 6, 12 und 24 Monaten. Die Komplikationsrate war zwischen den beiden Gruppen vergleichbar.

Schlussfolgerung

Die PVP ist durch eine hohe perioperative Sicherheit und signifikante Verbesserung der Miktionsverhältnisse gekennzeichnet. Für Patienten mit Prostatavolumina >80 cm3 stellt die PVP eine durchführbare Therapieoption dar.

Abstract

Background

We report about our experiences with photoselective vaporization of the prostate (PVP) in patients with symptomatic benign prostatic hyperplasia (BPH) and total prostate volume larger than 80 cm3.

Patients and methods

The study included 201 patients with BPH: 51 (25.4%) patients had a prostate volume larger than 80 cm3 and 150 (74.6%) patients had a volume smaller than 80 cm3 in the preoperative transrectal ultrasound.

Results

The mean operation time for patients with large prostates was 79 min. Neither TUR syndrome nor severe bleeding was observed. In patients with large adenomas peak urinary flow increased by 135, 136, and 132% after 6, 12, and 24 months, respectively. The overall complication rate was comparable in both groups.

Conclusion

PVP is characterized by excellent perioperative safety and significant improvement of voiding parameters. PVP is feasible in patients with large prostates.

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Authors and Affiliations

  1. Urologische Klinik, Universitätsspital, Spitalstraße 21, CH-4031, Basel, Schweiz

    R. Ruszat, S. Wyler, H.-H. Seifert, T. Forster, T. Sulser & A. Bachmann

  2. Urologische Klinik, Ludwig-Maximilians-Universität, München

    O. Reich, C. G. Stief & A. Bachmann

Authors
  1. R. Ruszat
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  2. S. Wyler
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  3. H.-H. Seifert
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  4. O. Reich
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  5. T. Forster
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  6. C. G. Stief
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  7. T. Sulser
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  8. A. Bachmann
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Corresponding author

Correspondence to R. Ruszat.

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Ruszat, R., Wyler, S., Seifert, HH. et al. Photoselektive Vaporisation der Prostata. Urologe 45, 858–864 (2006). https://doi.org/10.1007/s00120-006-1050-6

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  • DOI: https://doi.org/10.1007/s00120-006-1050-6

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