Safety and Efficacy of Holmium Laser Bladder Neck Incision for Small Prostate in Patients with and without Antithrombotic Therapy: A Prospective Study
Iftesi, B., Abdel Aal, A., Ali, A., Fawzy, A. (2021). Safety and Efficacy of Holmium Laser Bladder Neck Incision for Small Prostate in Patients with and without Antithrombotic Therapy: A Prospective Study. EKB Journal Management System, 27(6), 1533-1540. doi: 10.21608/zumj.2019.17214.1533
Bassam Ayad Iftesi; Ahmad Al-ayman Abdel Aal; Ahmed Ragab Ali; Amr Mohamed Fawzy. "Safety and Efficacy of Holmium Laser Bladder Neck Incision for Small Prostate in Patients with and without Antithrombotic Therapy: A Prospective Study". EKB Journal Management System, 27, 6, 2021, 1533-1540. doi: 10.21608/zumj.2019.17214.1533
Iftesi, B., Abdel Aal, A., Ali, A., Fawzy, A. (2021). 'Safety and Efficacy of Holmium Laser Bladder Neck Incision for Small Prostate in Patients with and without Antithrombotic Therapy: A Prospective Study', EKB Journal Management System, 27(6), pp. 1533-1540. doi: 10.21608/zumj.2019.17214.1533
Iftesi, B., Abdel Aal, A., Ali, A., Fawzy, A. Safety and Efficacy of Holmium Laser Bladder Neck Incision for Small Prostate in Patients with and without Antithrombotic Therapy: A Prospective Study. EKB Journal Management System, 2021; 27(6): 1533-1540. doi: 10.21608/zumj.2019.17214.1533

Safety and Efficacy of Holmium Laser Bladder Neck Incision for Small Prostate in Patients with and without Antithrombotic Therapy: A Prospective Study

Zagazig University Medical Journal
Article 279, Volume 27, Issue 6, November 2021, Page 1533-1540  XML PDF (411.83 K)
Document Type: Original Article
DOI: 10.21608/zumj.2019.17214.1533
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Authors
Bassam Ayad Iftesi email 1; Ahmad Al-ayman Abdel Aal2; Ahmed Ragab Ali3; Amr Mohamed Fawzy4
1Department of Urology, Faculty of Medicine, Tripoli University. Libya
2Professor of Urology, Faculty of Medicine – Zagazig University, Egypt
3Assistant Professor of Urology, Faculty of Medicine – Zagazig University, Egypt
4Lecturer of Urology, Faculty of Medicine – Zagazig University, Egypt
Abstract
Background: Benign prostatic hyperplasia (BPH) is a hyperplastic process of the glandular epithelial elements and fibromuscular stromal elements of the prostate. Objectives: evaluate the safety and efficacy of Holmium laser bladder neck incision for management of Bladder outlet obstruction (BOO) due to BPH less than 30 grams in patients with and without antithrombotic therapy. Patients & Methods: the current study included a total of 36 patients who admitted with symptomatic benign prostatic hyperplasia; 24 of them with antithrombotic and 10 patients without antithrombotic drugs to Department of Urology, Faculty of Medicine; Zagazig University Hospitals, during the period from January 2018 to November 2018. All patients were assessed as requiring surgical treatment for BOO due to BPH with: prostate size ≤ 30 cc, PVR ≤ 300 mL, IPS score ≥ 8, Qmax ≤ 15 mL/sec. Results: Our study confirmed the safety and efficacy of holmium laser bladder neck incision technique for management of small prostate (< 30g) patients without antithrombotic therapy. Conclusions: Ho BNI procedure is efficient and safe in relieving BOO with prostate size < 30 cc in patients with and without antithrombotic therapy. The risk of postoperative hematuria and bleeding is less with Ho BNI because of its better haemostatic properties.
Keywords
Holmium Laser; Bladder Neck Incision; Small Prostate
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