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La vaporización fotoselectiva de la HPB con el KTP-láser (Kalium-Titanyl-Phosphat) de 80 watios y la RTU-P de baja presión hidráulica: Experiencia en 230 casos

2007; SciELO; Volume: 60; Issue: 2 Linguagem: Inglês

10.4321/s0004-06142007000200008

1576-8260

A.B. Verger-Kuhnke, Matthias Reuter, W. Epple, G. Ungemach, M.L. Beccaría,

Hormonal and reproductive studies

To determine the effectiveness of the 80 watt KTP-laser method for the vaporization and ablation of the symptomatic BPH. Also the results when combining the KTP-laser with the RTU-P and their repercussion on the haemoglobin are analysed.230 patients with symptomatic BPH were treated between August 2004 and July 2006 with the KTP-Laser or combined with RTU-P. The additional Resection was carried out in those patients with great adenomas or having a big middle lobe. The ablative effect was controlled at the end of the operation with TRUS (transrectal ultrasound).230 patients were treated in 2 groups. The group 1 (n: 50) just by laser treatment and small adenomas, the haemoglobin was reduced a 3.2% and nobody required a transfusion. Group 2 (n: 180) with combined treatment of KTP-laser and TUR-P in great adenomas, the haemoglobin was reduced in average 13.7% after the intervention; 2 patients (1.1%) needed a transfusion.Our study shows the advantages of combining both, the advantages to combine both surgical procedures to mainly obtain a better result in the ablation of the prostate adenoma in prostates of great size.