Treatment outcomes of benign prostate hyperplasia by thulium vapoenucleation of the prostate in aging men

Hou, Chun-Ming; Chen, Chien‐Lun; Lin, Yu‐Hsiang; Yang, Pei-Shan; Chang, Phei‐Lang; Tsui, Ke‐Hung

doi:10.1016/j.urols.2016.03.006

Cited by 6 publications

(10 citation statements)

References 15 publications

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“… 19 Hou et al retrospectively analysed the results of 303 patients who underwent thulium vapoenucleation of the prostate (ThuVEP). 18 The older group’s (age>80) Qmax did not differ significantly from the younger groups’ (p=0.103). 18 …”

Section: Resultsmentioning

confidence: 78%

“… 18 The older group’s (age>80) Qmax did not differ significantly from the younger groups’ (p=0.103). 18 …”

Section: Resultsmentioning

confidence: 78%

“…Intraoperative, short term and long term postoperative complication rates were found as 0.7%, 29.8%, and 13.3%, respectively. Hou et al 2016 18 retrospective ThuVEP >80:38 82.8 ±2.4 67.2 ±27.8 8.4 ±6.1 24.9 ±5.0 8.6 ±4.3 N/A N/A 84.7 ±32.3 N/A 2.3 In the elderly group (age>80), no significant difference was found regarding Qmax increase from baseline (p=0.103). In terms of PVR decrease, there was no significant difference from baseline (p=0.068).…”

Section: Resultsmentioning

confidence: 93%

“… 6 , 22–24 Five studies focussed mainly on Holmium laser enucleation of the prostate (HoLEP). 6 , 17 , 20–22 One study focussed on comparing HoLEP to other laser prostatectomy procedures, 16 two studies examined Thulium laser enucleation of the prostate (ThuLEP) in more detail, 14 , 18 and two other studies focussed on the GreenLight XPS 180-W laser procedure, 19 , 23 one focussed on potassium-titanyl-phosphate (KTP) laser 24 and another compared laser prostatectomy to transurethral resection of the prostate (TURP). 15 …”

Section: Resultsmentioning

confidence: 99%

“… 6 , 14 , 16 , 19 , 21 , 22 Only three studies failed to provide data on postoperative QoL changes in patients. 17 , 18 , 20 Note that most of the studies failed to mention which QoL scale they had used. Only one study used King’s Health Questionnaire (KHQ scores).…”

Section: Discussionmentioning

confidence: 99%

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Safety and Efficacy of Laser Enucleation of the Prostate in Elderly Patients – A Narrative Review

Yılmaz¹,

Esser²,

Suárez-Ibarrola³

et al. 2022

CIA

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Benign prostatic hyperplasia (BPH) is a common health condition in aging men resulting in lower urinary tract symptoms (LUTS) and low quality of life (QoL). We aimed to review studies on laser enucleation of the prostate (LEP) due to LUTS in elderly patients (>65 years) comparing different age groups, particularly considering functional outcomes, safety, and perioperative complications. A comprehensive search was conducted using the PubMed-MEDLINE, Web of Science, Wiley Online Library and Cochrane Library databases over the last 10 years until 7 October 2021 with the following search terms solely or in combination: “laser enucleation”, “prostate”, “laser prostatectomy”, “aging”, “elderly patients”, “older patients” and “age”. We identified 12 articles for inclusion in our analysis. Five studies focussed mainly on holmium laser enucleation of the prostate (HoLEP), one compared HoLEP to other laser prostatectomy procedures, two studies examined thulium laser enucleation of the prostate (ThuLEP), and two studies focused on GreenLight laser, one study focussed on potassium-titanyl-phosphate (KTP) laser, and another study compared laser prostatectomy to transurethral resection of the prostate (TURP). These studies showed that LEP improved IPSS, Qmax and QoL compared to baseline regardless of age; no significant difference was reported among age groups. Although ASA scores and anticoagulation/antiplatelet therapy rates are higher in elderly patients, studies revealed no significant difference in perioperative complication rates between age groups. Laser enucleation of the prostate is an effective and safe procedure in elderly patients, resulting in good functional outcomes, low morbidity, and few perioperative complications.

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Section: Resultsmentioning

confidence: 78%

“… 18 The older group’s (age>80) Qmax did not differ significantly from the younger groups’ (p=0.103). 18 …”

Section: Resultsmentioning

confidence: 78%