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Development of Medical Lasers for Treatment on Benign Prostatic Hyperplasia

Chinese Medical Journal 2018年第18期131卷 2265-2268页

作者： Xiao-Lei Ren Hai-Bo Xia Department of Urology The Second Affiliated Hospital of Chifeng College Chifeng Inner Mongolia Autonomous Region 024000 China

Benign prostatic hyperplasia （BPH） is one of the most common causes of lower urinary tract symptoms in aged males. Many patients with BPH may go on to require surgical intervention. At present, transurethral resection of the prostate （TURP） is the gold standard for BPH treatment owing to its minimal damage, low cost, and long-term efficacy. However, many complications associated with TURP represent major drawbacks of this procedure. These complications include hemorrhage, perforation of the prostatic capsule, urinary incontinence, retrograde ejaculation, urethral stricture, bladder neck spasm.

关键词： HOLMIUM LASER TRANSURETHRAL RESECTION PHOTOSELECTIVE VAPORIZATION ENUCLEATION SAFETY photovaporization EFFICACY OUTCOMES HOLEP VAPOENUCLEATION

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Contribution of Laser Photovaporisation in the Management of Lower Urinary Tract Symptoms Related to Prostatic Tumours: Preliminary Study of 29 Cases at the Saint Camille Hospital of Ouagadougou (Burkina Faso)

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Open Journal of Urology 2020年第1期10卷 1-7页

作者： Clotaire Alexis Marie Kiemdiba Donega Yaméogo Bienvenu Ky Fasnewendé Aristide Kaboré Adama Ouattara Brahima Kirakoya Department of Urology Yalgado Ouédraogo Teaching HospitalOuagadougouBurkina Faso Department of Urology Sanon Souro Teaching HospitalBobo DioulassoBurkina Faso

The treatment of prostatic tumour-related lower urinary tract symptoms (LUTS) uses a varied therapeutic arsenal. In our country, the treatment is dominated by open surgery. Laser treatment is becoming an efficient alternative to trans-urethral prostatic resection or prostatic adenomectomy. We report our experience with the results of Thulium laser photovaporization in the treatment of prostatic tumour-related LUTS. Materials and Methods: A prospective study was conducted between November 2018 and August 2019 at the Saint Camille hospital of Ouagadougou. The inclusion criteria were the presence of LUTS related to a prostatic tumour with an operative indication. Results: 29 patients were treated with Thulium laser prostatic photovaporization. The average age of patients was 72.58 ± 25.34 years (54 - 84 years). The average vaporization duration was 71.24 ± 21.65 minutes (15 - 210 minutes) for an average prostatic volume of 80.97 ml. The average duration of hospitalization for patients was 1.93 days (1 - 5 days). The average bladder sounding duration was 1.68 days (1 - 4 days). A capsular perforation, a sphincter lesion and urinary retention after removal of the catheter were the complications. Conclusion: Laser photovaporization is a newly used method at the Saint Camille Hospital. The benefit is the reduction of the risk of bleeding, the short duration of hospital stay and bladder sounding. photovaporization deserves to be popularized in our daily practices.

关键词： LUTS Laser photovaporization Prostate Burkina Faso

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