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• W2041684708 abstract "You have accessJournal of UrologyBenign Prostatic Hyperplasia: Surgical Therapy and New Technology (III)1 Apr 20132175 THE EFFICACY OF 70W THULIUM:YAG (REVOLIX®) PROSTATECTOMY IN LARGE PROSTATE VOLUME: A RETROSPECTIVE, 1-YEAR FOLLOW-UP STUDY ON EVALUATING FEASIBILITY AND SAFETY Jae Il Chung, Sang Hyun Park, Seok San Park, Jae Seung Chung, Cheol Kyu Oh, Seong Cheol Kim, Wan Suk Kim, Jang Ho Yoon, Dong Il Kang, and Kweon Sik Min Jae Il ChungJae Il Chung Busan, Korea, Republic of More articles by this author , Sang Hyun ParkSang Hyun Park Busan, Korea, Republic of More articles by this author , Seok San ParkSeok San Park Busan, Korea, Republic of More articles by this author , Jae Seung ChungJae Seung Chung Busan, Korea, Republic of More articles by this author , Cheol Kyu OhCheol Kyu Oh Busan, Korea, Republic of More articles by this author , Seong Cheol KimSeong Cheol Kim Busan, Korea, Republic of More articles by this author , Wan Suk KimWan Suk Kim Busan, Korea, Republic of More articles by this author , Jang Ho YoonJang Ho Yoon Busan, Korea, Republic of More articles by this author , Dong Il KangDong Il Kang Busan, Korea, Republic of More articles by this author , and Kweon Sik MinKweon Sik Min Busan, Korea, Republic of More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.2084AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Thulium:YAG (Tm:YAG) laser offers a rapid ablation capacity and hemostatic properties of prostate tissue. We evaluated the impact of prostate volume on the surgical outcome of Tm:YAG prostatectomy in men with symptomatic benign prostatic hyperplasia (BPH). METHODS A total of 338 men underwent Tm:YAG for BPH from March 2010 to June 2012. Patients were classified into three groups according to their prostate volume (group A, ≤60 cc: n=251; group B, 60∼99 cc: n=65; group C, ≥100 cc: n=22). All patients underwent a baseline evaluation including international prostate symptom score (IPSS), prostate volume and PSA as well as urodynamic evaluation. Preoperative and postoperative outcome (6 weeks, 3, 6 and 12 months) as well as adverse events were assessed. RESULTS Mean follow-up duration was 13.1±7.3 months. Mean prostate size was 35.5, 74.1 and 111.3 cc for groups A, B and C, respectively. Group C showed a significant higher laser time (17.8±11.2, 41.3±29.5 and 58.3±30.6 min, p<0.001) and total operation time (31.0±22.7, 65.7±31.2 and 101.4±35.8 min, P<0.001). The average of 5.2, 17.3, and 27.7 cc of tissue were retrieved in each groups. The prostate size estimated postoperatively was 20.6±5.8, 39.6±10.7, and 56.0±21.5 cc, respectively. The average reduction of prostate volume on transrectal ultrasound by 12 months was 41.9%, 46.5%, and 49.6%.There were no significant differences in improvement of IPSS scores, Qmax and PVR among the three groups. These improvements were sustained throughout a 1-year follow-up period. Only 3 patients needed a blood transfusion in all groups. Perioperative complications were almost evenly distributed among the three groups. Re-catherization after initial voiding trial was necessary in 2 patient. Catheterization time and hospital days showed no significant differences among the three groups. CONCLUSIONS Although a longer surgical time was required for large prostate, Tm:YAG prostatectomy is a safe and effective procedure for treating symptomatic BPH regardless of prostate size with little perioperative morbidity. It can be an important alternative even in the treatment of large prostate volume. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e892 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Jae Il Chung Busan, Korea, Republic of More articles by this author Sang Hyun Park Busan, Korea, Republic of More articles by this author Seok San Park Busan, Korea, Republic of More articles by this author Jae Seung Chung Busan, Korea, Republic of More articles by this author Cheol Kyu Oh Busan, Korea, Republic of More articles by this author Seong Cheol Kim Busan, Korea, Republic of More articles by this author Wan Suk Kim Busan, Korea, Republic of More articles by this author Jang Ho Yoon Busan, Korea, Republic of More articles by this author Dong Il Kang Busan, Korea, Republic of More articles by this author Kweon Sik Min Busan, Korea, Republic of More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ..." @default.
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• W2041684708 title "2175 THE EFFICACY OF 70W THULIUM:YAG (REVOLIX®) PROSTATECTOMY IN LARGE PROSTATE VOLUME: A RETROSPECTIVE, 1-YEAR FOLLOW-UP STUDY ON EVALUATING FEASIBILITY AND SAFETY" @default.
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