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Urodynamics and laser prostatectomy

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Summary

A total of 81 patients with symptomatic bladder-outlet obstruction (BOO) due to benign prostatic hyperplasia (BPH) underwent visual laser ablation of the prostate (VLAP) using a right-angled firing neodynium: YAG laser. The mean pre-operative prostatic volume was 48.5 ml. All patients were discharged on the 1st post-operative day with an indwelling catheter. Two patients underwent a transurethral prostatectomy (TURP) after failing a trial without catheter on two occasions. Of the remaining 79 patients, 75 were evaluated 6 months post-operatively. Mean symptom scores (I-PSS) decreased from 20.9 to 5.8, the mean maximal urinary flow rate increased from 7.9 to 16.4 ml/s and the mean residual volume decreased from 88.1 to 15.6 ml. Several different methods of evaluating BOO from pressure-flow measurements were used and all showed improvement. All the above-mentioned parameters showed a highly significant improvement (P<0.01) at 6 months.

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Authors and Affiliations

  1. Department of Urology, Westbury-on-Trym, Southmead General Hospital, BS10 5NB, Bristol, UK

    A. Cannon & P. H. Abrams

  2. Department of Urology, University Hospital Nijmegen, The Netherlands

    M. de Wildt & J. J. M. C. H. de la Rosette

Authors
  1. A. Cannon
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  2. M. de Wildt
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  3. P. H. Abrams
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  4. J. J. M. C. H. de la Rosette
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Cannon, A., de Wildt, M., Abrams, P.H. et al. Urodynamics and laser prostatectomy. World J Urol 13, 134–136 (1995). https://doi.org/10.1007/BF00183631

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  • DOI: https://doi.org/10.1007/BF00183631

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