LASER ENUCLEATION VS. TURP WITH ADJUNCT DRUG THERAPY CONSIDERATION: A CASE-CONTROLLED TRIAL FOR BENIGN PROSTATIC HYPERPLASIA
DOI:
https://doi.org/10.48047/keev0r53Keywords:
Laser enucleation, TURP, benign prostatic hyperplasiaAbstract
Laser enucleation and Transurethral Resection of the Prostate (TURP) remain the two primary interventions for benign prostatic hyperplasia (BPH), a condition causing significant lower urinary tract symptoms in aging males. Despite their established efficacy, each technique has distinct advantages and limitations regarding operative time, recovery, and complication rates. The objective of this study was to compare the clinical outcomes, including perioperative metrics, complications, and long-term symptom relief, of laser enucleation versus TURP in patients with BPH. A case controlled trial was conducted with 150 participants, equally divided between laser enucleation and TURP. Results demonstrated that laser enucleation significantly reduced intraoperative blood loss and hospital stay (p < 0.05) while maintaining comparable symptom relief as TURP at 12-month follow-up. Complication rates were lower for laser enucleation, particularly in terms of urinary retention and catheterization time (p < 0.05). These findings suggest that laser enucleation may offer superior safety profiles while yielding similar functional outcomes. This case-controlled trial evaluates laser enucleation versus TURP in benign prostatic hyperplasia, emphasizing adjunct drug therapy use and postoperative pharmacological outcomes.
In conclusion, laser enucleation represents a promising alternative to TURP, particularly for patients with risk factors for bleeding or longer recovery times. Further studies with larger cohorts and longer follow-up are warranted to confirm these findings and refine patient selection criteria.
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Copyright (c) 2022 Nauman Khalid, Muhammad Nadeem Shafique, Ayesha Tariq, Muhammad Anwar Jan, Javeria Sarfraz, farahnaztahir Tahir (Author)
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