Prostate Adenoma

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Karin Lehrich - One of the best experts on this subject based on the ideXlab platform.

  • transurethral holmium laser enucleation versus transvesical open enucleation for Prostate Adenoma greater than 100 gm a randomized prospective trial of 120 patients
    The Journal of Urology, 2002
    Co-Authors: Rainer M Kuntz, Karin Lehrich
    Abstract:

    ABSTRACTPurpose: Prostate Adenomas greater than 100 gm. have traditionally been treated with open Prostatectomy. This procedure may involve considerable blood loss, morbidity, prolonged hospital stay and recovery time. The high powered holmium:YAG laser can be used endoscopically to enucleate obstructing prostatic tissue in a relatively bloodless manner. The technique of transurethral holmium laser enucleation of the Prostate is compared to open Prostatectomy for the surgical management of large Prostate Adenomas in a prospective randomized study.Materials and Methods: A total of 120 urodynamically obstructed patients with a Prostate larger than 100 gm. on transrectal ultrasound were randomized to undergo holmium laser enucleation of the Prostate or open Prostatectomy. All patients were assessed preoperatively and 1, 3 and 6 months postoperatively. Patient baseline characteristics, perioperative data and postoperative outcome were compared. All complications were noted.Results: Holmium laser enucleation o...

James E Lingeman - One of the best experts on this subject based on the ideXlab platform.

  • holmium laser enucleation for Prostate Adenoma greater than 100 gm comparison to open Prostatectomy
    The Journal of Urology, 2001
    Co-Authors: Jeffrey A Moody, James E Lingeman
    Abstract:

    Purpose: Options for treatment of large (greater than 100 gm.) prostatic Adenomas have until now been limited to open surgery or transurethral resection by skilled resectionists. Considerable blood loss, morbidity, extended hospital stay and prolonged recovery occur with open surgery for large prostatic Adenomas. Endoscopic surgery for benign prostatic hyperplasia has evolved during the last decade to offer the patient and surgeon significant advantages of transurethral removal of prostatic Adenomas. Holmium laser enucleation of the Prostate with transurethral tissue morcellation provides significant reductions in morbidity, bleeding and hospital stay for patients with large Prostate Adenomas.Materials and Methods: A retrospective review of data on 10 cases of holmium laser enucleation and 10 open Prostatectomies for greater than 100 gm. prostatic Adenomas was performed from 1998 to 1999 at our institution. Patient demographics, indication for surgery, preoperative and postoperative American Urological As...

Rainer M Kuntz - One of the best experts on this subject based on the ideXlab platform.

  • transurethral holmium laser enucleation versus transvesical open enucleation for Prostate Adenoma greater than 100 gm a randomized prospective trial of 120 patients
    The Journal of Urology, 2002
    Co-Authors: Rainer M Kuntz, Karin Lehrich
    Abstract:

    ABSTRACTPurpose: Prostate Adenomas greater than 100 gm. have traditionally been treated with open Prostatectomy. This procedure may involve considerable blood loss, morbidity, prolonged hospital stay and recovery time. The high powered holmium:YAG laser can be used endoscopically to enucleate obstructing prostatic tissue in a relatively bloodless manner. The technique of transurethral holmium laser enucleation of the Prostate is compared to open Prostatectomy for the surgical management of large Prostate Adenomas in a prospective randomized study.Materials and Methods: A total of 120 urodynamically obstructed patients with a Prostate larger than 100 gm. on transrectal ultrasound were randomized to undergo holmium laser enucleation of the Prostate or open Prostatectomy. All patients were assessed preoperatively and 1, 3 and 6 months postoperatively. Patient baseline characteristics, perioperative data and postoperative outcome were compared. All complications were noted.Results: Holmium laser enucleation o...

Jeffrey A Moody - One of the best experts on this subject based on the ideXlab platform.

  • holmium laser enucleation for Prostate Adenoma greater than 100 gm comparison to open Prostatectomy
    The Journal of Urology, 2001
    Co-Authors: Jeffrey A Moody, James E Lingeman
    Abstract:

    Purpose: Options for treatment of large (greater than 100 gm.) prostatic Adenomas have until now been limited to open surgery or transurethral resection by skilled resectionists. Considerable blood loss, morbidity, extended hospital stay and prolonged recovery occur with open surgery for large prostatic Adenomas. Endoscopic surgery for benign prostatic hyperplasia has evolved during the last decade to offer the patient and surgeon significant advantages of transurethral removal of prostatic Adenomas. Holmium laser enucleation of the Prostate with transurethral tissue morcellation provides significant reductions in morbidity, bleeding and hospital stay for patients with large Prostate Adenomas.Materials and Methods: A retrospective review of data on 10 cases of holmium laser enucleation and 10 open Prostatectomies for greater than 100 gm. prostatic Adenomas was performed from 1998 to 1999 at our institution. Patient demographics, indication for surgery, preoperative and postoperative American Urological As...

Orhan Goğus - One of the best experts on this subject based on the ideXlab platform.

  • determination of transition zone volume by transrectal ultrasound in patients with clinically benign prostatic hyperplasia agreement with enucleated Prostate Adenoma weight
    The Journal of Urology, 2000
    Co-Authors: Sumer Baltaci, Cemil Yagci, Hakan Aksoy, Atilla Halil Elhan, Orhan Goğus
    Abstract:

    Purpose: Accurately estimating transition zone volume is important for the medical or surgical management of symptomatic benign prostatic hyperplasia and determination of Prostate specific antigen density of the transition zone. We evaluated whether preoperative transrectal ultrasound measurements of the transition zone predict enucleated Adenoma weight.Materials and Methods: We measured transition zone volume preoperatively using transrectal ultrasound and the prolate ellipsoid method in 50 patients with presumed benign prostatic hyperplasia who underwent suprapubic Prostatectomy. Transition zone volume corresponds to the Adenoma. Enucleated Adenoma weight was then correlated with preoperatively determined transition zone volume.Results: As measured by transrectal ultrasound, mean transition zone volume plus or minus standard deviation was 80.88 ± 37.42 cc (range 31 to 200). Mean enucleated Adenoma weight was 68.70 ± 36.26 gm. (range 18 to 180). There was a statistically significant correlation of estima...