2168 EFFECT OF PHOTOSELECTIVE VAPORIZATION OF THE PROSTATE ON THE LOWER URINARY TRACT SYMPTOMS AND PATIENT'S SATISFACTION IN BENIGN PROSTATIC HYPERPLASIA PATIENTS WITH/WITHOUT INTRAVESICAL PROTRUSION OF PROSTATE USING FLEXIBLE CYSTOSCOPY: PROSPECTIVE, CASE-CONTROLLED STUDY

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You have accessJournal of UrologyBenign Prostatic Hyperplasia: Surgical Therapy and New Technology III1 Apr 20122168 EFFECT OF PHOTOSELECTIVE VAPORIZATION OF THE PROSTATE ON THE LOWER URINARY TRACT SYMPTOMS AND PATIENT'S SATISFACTION IN BENIGN PROSTATIC HYPERPLASIA PATIENTS WITH/WITHOUT INTRAVESICAL PROTRUSION OF PROSTATE USING FLEXIBLE CYSTOSCOPY: PROSPECTIVE, CASE-CONTROLLED STUDY Seung Hwan Lee, Dong Hoon Lee, Kyung Kgi Park, Mun Su Chung, Byung Ha Chung, and Joong Shik Lee Seung Hwan LeeSeung Hwan Lee Seoul, Korea, Republic of More articles by this author , Dong Hoon LeeDong Hoon Lee Seoul, Korea, Republic of More articles by this author , Kyung Kgi ParkKyung Kgi Park Seoul, Korea, Republic of More articles by this author , Mun Su ChungMun Su Chung Seoul, Korea, Republic of More articles by this author , Byung Ha ChungByung Ha Chung Seoul, Korea, Republic of More articles by this author , and Joong Shik LeeJoong Shik Lee Seoul, Korea, Republic of More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.2341AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The anatomical configuration of the prostate, in particular the extent of intravesical protrusion of the prostate (IPP) could affect voiding symptoms. We aimed to evaluate the symptom improvement of lower urinary tract symptoms (LUTS) and patent¡s satisfaction in benign prostatic hyperplasia (BPH) patents with or without IPP. METHODS This prospective study included 134 patients who underwent GreenLight HPSTM laser photoselective vaporization prostatectomy (PVP) between January 2010 and July 2011. Preoperative measurement for IPP was evaluated using retroflexed view by flexible cystoscopy. Each patient evaluation also included complete medical history, International Prostatic Symptom Scores (IPSS), maximum flow rate (Qmax), postvoid residual (PVR), prostatic specific antigen (PSA) and transrectal ultrasonogram. The changes from baseline in Qmax, PVR, total IPSS and IPSS sub-score (voiding & storage) were analyzed during postoperative 1, 3 and 6 months. RESULTS The overall mean age was 68.3 ±8.4 years. The mean total IPSS and prostate volume was 2.02±0.93ng/ml and 36.2±14.5gm, respectively. There were no significant differences not only in preoperative data such as prostate volume, total IPSS and PSA but also in lasing time and lasing energy between IPP and no IPP group. Mean follow up duration was 6.2„b±1.9 months. IPP group showed significant improvements in total IPSS and voiding sub-scores at 1 and 3 months. However, improvement of the QOL score and storage sub-scores was not different between 2 groups. Qmax and PVR significantly improved in IPP group at postoperative 6 months (+7.7 ml/sec) compared with no IPP group (+6.1 ml/sec). No major complication occurred. CONCLUSIONS PVP showed more symptom improvement especially in voiding symptom of IPP patients rather than no IPP patients. Preoperative cystoscopy would be helpful for evaluating IPP and anticipating the postoperative outcome. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e874-e875 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Seung Hwan Lee Seoul, Korea, Republic of More articles by this author Dong Hoon Lee Seoul, Korea, Republic of More articles by this author Kyung Kgi Park Seoul, Korea, Republic of More articles by this author Mun Su Chung Seoul, Korea, Republic of More articles by this author Byung Ha Chung Seoul, Korea, Republic of More articles by this author Joong Shik Lee Seoul, Korea, Republic of More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...