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35 HASTADA LASER PROSTATEKTOMİ SONUÇLARIMIZ

Results of Laser Prostatectomy In 35 Patients With Benign Prostatic Hyperplasia

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Abstract (2. Language): 
In order to assess the efficiency of laser prostatectomy that can be an alternative procedure to TUR-P which is the gold standart in the management of benign prostatic hyperplasia, 35 patients underwent laser prostatectomy (Nd: <AG laser) and the results are discussed. When objective parameters (IPSS, residual and maximum urine How rate) are taken into consideration preoperative/y and postoperatively at 6th month, significant improvement was found (p<0.001). As a result, laser prostatectomy seems superior to TUR-P in terms of to morbidity but not of cost and efficiency. Therefore laser prostatectomy can be an alternative treatment modality to TUR-P especially in patients whose general condition is not well and who has serious medical problems.
Abstract (Original Language): 
Benign prostat hiperplazisinin tedavisinde altın standart kabul edilen Transüretral prostat rezeksiyonuna alternatif olabilecek bir yöntem olarak öne sürülen laser prostatektominin etkinliğini araştırmak üzere 35 hastaya laser prostatektomi (Nd:YAG laser) uygulandı ve sonuçları tartışıldı. Preoperatif ve postoperatif 6. ayda objektif parametreler (IPSS, rezidü ve maksimal idrar akım hızı) gözönüne alındığında anlamlı bir iyileşme olduğu saptandı (p<0.001) Sonuçta maliyet ve etkinlik gözönüne alındığında TURP'a bir üstünlüğü olmadığı, ancak morbidite açısından bir avantajı olduğu sonucuna varıldı. Bu özelliği nedeniyle laser prostatektominin genel durumu bozuk ve ağır medikal problemi olan hastalarda TURP'a alternatif bir tedavi metodu olabileceği sonucuna varıldı.
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REFERENCES

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