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A comparative study of laser ablation and transurethral electroresection for benign prostatic hyperplasia : results of a 6‐month follow‐up
Author(s) -
Sengör F.,
Köse O.,
Yücebas E.,
Beysel M.,
Erdogan K.,
Narter F.
Publication year - 1996
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1046/j.1464-410x.1996.00168.x
Subject(s) - medicine , prostate , ablation , urology , hyperplasia , electrosurgery , laser ablation , surgery , transurethral resection of the prostate , laser , cancer , physics , optics
Objective To compare the efficacy of standard transurethral electroresection of the prostate (TURP) and visual laser ablation in the treatment of benign prostatic hyperplasia (BPH). Patients and methods In a randomized prospective study, the prostate glands of 60 patients with symptomatic bladder outlet obstruction caused by BPH were treated with TURP or visual ablation with the Ultraline side‐firing Nd:YAG laser; the patients were assessed using standard symptom scores, the measurement of residual urine and uroflowmetry both before and at 3 and 6 months after treatment. Results All patients in both treatment groups had a significant improvement in symptoms and objective measures of voiding. The laser treatment gave significantly better improvements in symptom score than did TURP ( P =0.034), but TURP produced significantly better peak urinary flow rates ( P =0.025). Conclusion These early results indicate that laser ablation of BPH may be a good alternative in the surgical treatment of this disease.