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Safety and feasibility of thullium laser transurethral resection of prostate for the treatment of benign prostatic enlargement in overweight patients

机译:laser激光经尿道前列腺切除术治疗超重患者前列腺增生的安全性和可行性

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ObjectiveWe aimed to determine safety and feasibility of thulium laser transurethral vapoenucleation of prostate (ThuVEP) for treatment of obese patients affected by benign prostatic hyperplasia (BPH).MethodsWe retrospectively analysed data of 452 patients with BPH who underwent ThuVEP from February 2012 to March 2016 in a single center. Patients were divided into three groups according to body mass index (BMI, kg/m2): Normal weight (18.5 ≤ BMI??0.05). There was no statistically significant difference among three groups as for hospital stay and days of catheterization (p?>?0.05).ConclusionOur results showed that ThuVEP was safe and feasible even in overweight patients with substantially enlarged prostate.
机译:目的我们确定2012年2月至2016年3月间接受ThuVEP治疗的452例BPH患者的回顾性分析,探讨th经前列腺前列腺激光经尿道静脉摘除术(ThuVEP)治疗肥胖性前列腺增生(BPH)患者的安全性和可行性。一个中心。根据体重指数(BMI,kg / m2)将患者分为三组:正常体重(18.5≤BMI≤25; A组);超重(25≤BMI≤30; B组)和肥胖( BMI≥≥30; C组),共有412位患者可进行此项研究评估。术前总血清前列腺特异性抗原(PSA),前列腺直肠指检,经直肠超声(TRUS),肾超声,尿液培养,尿流法,国际前列腺症状评分(IPSS)和生活质量(QoL)得分进行了分析。评估术后1个月和3个月的术后并发症,住院时间和导管插入天数,问卷和尿流测定法。比较两组患者的术前数据,手术结局,并发症发生率和临床结局。结果患者的中位年龄为69岁(四分位间距[IQR 10])。各组术前IPSS的中位数分别为19(IQR 8.75),20(IQR 10)和18(IQR 10)。随访1个月和3个月时,该值分别为8(IQR 7),8(IQR 4),7(IQR 5)和5(IQR 6.25),5(IQR 6),6(IQR 5)。 (各组之间≥0.05)。三组间的住院时间和导管插入天数没有统计学差异(p≥0.05)。结论我们的结果表明,即使对于超重前列腺肥大的患者,ThuVEP也是安全可行的。

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