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Vol. 79, No. 4, 2007
Issue release date: November 2007
Section title: Original Paper
Urol Int 2007;79:316–320
(DOI:10.1159/000109716)

Outcomes of 80 W KTP Laser Vaporization of the Large Prostate

Tugcu V. · Tasci A.I. · Sahin S. · Ordekci Y. · Karakas O.F. · Zorluoglu F.
aDepartment of Urology, Bakırkoy Training and Research Hospital, and Departments of bUrology and cAnesthesiology, Nisa Hospital, Istanbul, Turkey

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: 8/14/2006
Accepted: 12/12/2006
Published online: 11/22/2007

Number of Print Pages: 5
Number of Figures: 1
Number of Tables: 1

ISSN: 0042-1138 (Print)
eISSN: 1423-0399 (Online)

For additional information: http://www.karger.com/UIN

Abstract

Purpose: We evaluated the safety and efficacy of 80 W potassium-titanyl-phosphate (KTP) laser vaporization of the prostate in men with prostate volumes >70 ml. Materials and Methods: Laser vaporization of the prostate with an 80 W KTP laser was applied between September 2003 and April 2005. Preoperative evaluation of 100 patients included the International Prostate Symptom Score (IPSS), maximum urinary flow rate (Qmax), postvoid residual urine volume (PVR), prostate volume, serum sodium, creatinine, hemoglobin, prostate-specific antigen and urinalysis. Results: The mean age of the patients, mean volume of the prostates, mean operative time and mean energy delivery were 67.0 ± 7.9 (53–90) years, 98.2 ± 18.9 (74–170) ml, 150.1 ± 22.7 (100–240) min and 246.1 ± 77.8 (100–500) kJ, respectively. The serum sodium, creatinine and hemoglobin levels did not change significantly. Urinary retention requiring recatheterization was detected in 10 patients. There was moderate dysuria in 22 patients with a mean duration of 2 months and mild hematuria in 16 patients with a mean duration of 1 month postoperatively. Urinary tract infection occurred in 5 patients. We observed clot retention in 2 patients. The IPSS, Qmax and PVR values had significantly improved by postoperative months 1, 3, 6 and 12. Reoperation was performed in 5 patients. Internal urethrotomy was performed in 1 patient with bladder neck contracture. Conclusions: 80 W KTP laser vaporization is a virtually bloodless, safe and effective procedure for surgical treatment of large volume prostates.


  

Author Contacts

Volkan Tugcu, MD
Bahcesehir, Gul D-5 Blok Daire 35
TR–54500 Istanbul (Turkey)
Tel. +90 532 551 0729, Fax +90 212 542 4491
E-Mail volkantugcu@yahoo.com

  

Article Information

Received: August 14, 2006
Accepted: December 12, 2006
Number of Print Pages : 5
Number of Figures : 1, Number of Tables : 1, Number of References : 20

  

Publication Details

Urologia Internationalis

Vol. 79, No. 4, Year 2007 (Cover Date: November 2007)

Journal Editor: Hakenberg, O.W. (Rostock)
ISSN: 0042–1138 (print), 1423–0399 (Online)

For additional information: http://www.karger.com/UIN


Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: 8/14/2006
Accepted: 12/12/2006
Published online: 11/22/2007

Number of Print Pages: 5
Number of Figures: 1
Number of Tables: 1

ISSN: 0042-1138 (Print)
eISSN: 1423-0399 (Online)

For additional information: http://www.karger.com/UIN


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Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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