THULIUM LASER ENUCLEATION OF PROSTATE (THULEP) VERSUS TRANSURETHRAL RESECTION OF PROSTATE (TURP) IN MANAGEMENT OF BENIGN ENLARGEMENT OF PROSTATE

Dr Ram Jaiswal, Dr Suhas Taralekar, Dr D. K. Jain, Dr Abhay Kumar

Abstract


Introduction: Benign prostatic hyperplasia is the most common non-malignant illness of the prostate, affecting more than 50% of the aged male population. Despite the fact that medical therapy is the first line treatment for BPH, a significant percentage of patients with moderate to severe BPH will require surgical interference. In this study, we compared a new procedure, Thulium Laser Prostatectomy (ThuLEP) with the gold standard treatment, transurethral resection of prostate (TURP).

Aim and Objectives: To compare the advantage and disadvantage of TURP and ThuLEP in treatment of BEP and feasibility of performing the thulium laser enucleation of prostate for BEP.

Material and Methods: This is a prospective study in which we compared 60 patients with symptomatic BPH were treated with ThuLEP and TURP (30 patients each) at tertiary health centre Pune.

Result and discussion: At the 1-month postoperative evaluation, 59 patients (99%) had spontaneous voiding and had significantly improved IPSS, QoL score, maximum urinary flow rate (Qmax), and PVR. The postoperative changes in the IPSS and QoL score, Qmax, PVR and Hb.

Conclusion: ThuLEP, in compared to TURP, there is not significant decrease in serum haemoglobin levels and sodium level with shorter length of hospital stay, and catheterization time could make it a promising treatment of choice although TURP was superior in terms of operation duration.


Keywords


transurethral resection of prostate (TURP), Thulium Laser Prostatectomy (ThuLEP), hyperplasia

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