- 作者：O. Buisan ; obuisan2903@gmail.com ; R. Boix ; J. Areal ; J.M. Ruiz ; L. Ibarz ; S. Bayona ; J.M. Saladié
- 关键词：HBP ; Enucleació ; n ; Lá ; ser de holmio ; Enucleació ; n prostá ; tica con lá ; ser de homio
- 刊名：Actas Urol贸gicas Espa帽olas
- 出版年：2010
- 期刊代码：pca37_02104806
- 类别：med
- 出版时间：September 2010
- 卷：34
- 期：8
- 页码：713-718
- 文件大小：155 K
lass="h4">Objectives
Evaluate the introduction of the enucleation with Holmium laser in our center, including the surgeon's learning curve by the analysis of the patients.
lass="h4">Materials and methods
150 procedures have been analyzed in a retrospective manner with an average follow-up of 11 months. Qmax, IPSS and Qol have been determined before surgery, at 6 months and 12 months, realizing their statistic analysis. PSA was measured before surgery and after 3 months. Complications, surgical time and hospital stay have been analyzed.
lass="h4">Results
Average patient age was 72, 4 years. Average prostatic size was of 71,3 gr (18鈥?50). Average hospital stay was of 22 h. Qmax before surgery, 6 months, 12 months was of 7,53 ml/s, 23,24 ml/s and 21,62 ml/s being statistically significant (p<0,01). Transfusion rate was of 1,3%and urethral stenosis rate of 4%. IPSS improvement at 6 and 12 months was statistically significant as well (p<0, 01).
lass="h4">Conclusions
Enucleation with Holmium laser is a safe and effective technique with lower complication rate than TURP, included during the learning curve.