IntroductionThe first decade of XXI century it is a time of the thulium laser implementation to a benign prostatic hyperplasia treatment.ObjectiveThe objective of this paper is a comparative assessment of early results thulium laser enucleation of the prostate (TmLEP) versus transurethral resection of the prostate (TURP) in 3-months observation.Materials and methodsPatients were randomized to BPH surgical treatment: research group (TmLEP – 54 men) or control group (TURP – 52 men). Between 02.2007-09.2009 non-consecutive patients were examined before, one month, and 3-months after surgery. Perioperative data (age, PV, time of surgery, use of laser, morcellation, catheterization, hospitalization, used energy, Hgb loss and removed tissue weight) were assessed. Before and after surgery IPSS, QoL, Qmax and PVR were controlled.ResultsHemoglobin loss was twice lower during TmLEP than TURP [0.95 ±0.77 (0-3.2) vs. 1.81 ±0.97 (0.1-4.7) g/dl, p <0.0001]. Surgery time TmLEP was longer than TURP [102.2 ±38.7 (25-210) vs. 74.5 ±22.8 (25-140) min. p <0.0001]. Without morcellation time [28.1 ±17.9 (5-80) min.], surgery time of both procedures was comparable. Weight of resected tissue was lower in TmLEP than TURP [24.8 ±14.8 (2-65) vs. 34.8 ±14.1 (12-68)g]. without consideration of vaporized tissue. In both groups we noticed a distinct improvement in all parameters: IPSS, QoL, Qmax and PVR, but without any statistically significant differences between them. Complications after surgery were similar in TmLEP and TURP group.ConclusionsThe thulium laser enucleation of the prostate is safe and efficient BPH treatment method, comparable to the transurethral electroresection in 3-months observation. Lack of long-term research does not allow to form wider conclusions.
ThuLEP literature is still very limited. Based on the available data, the approach is safe and effective, demonstrating favorable outcomes, comparable with the current standard treatment options. Further documentation of ThuLEP outcomes is necessary to define the optimum indications of this novel technique.
Abbreviations & AcronymsObjectives: To assess the interobserver variability of Clavien-Dindo scoring in urology. Methods: A thematic survey was carried out simultaneously in nine Polish urological centers among 171 responders -81 urologists and 90 urologists-in-training, made up of 16 women and 155 men. After Clavien-Dindo classification was presented, respondents were asked to grade nine typical urological complications according to Clavien-Dindo classification. Interobserver agreement, reproducibility of answers, as well as the influencing factors were analyzed. Questions in the survey related to complications of variable severity after basic urological operations, including four open, one laparoscopic and four endourological. Results: Agreement on the grade of complication was moderate (κ = 0.45) and it was noticed in 69% of respondents (range 38-87%). No effect of surgical approach (classic vs endoscopic, 70% vs 67%, P = 0.64), or physician professional experience (resident vs urologist, 71% vs 66%, P = 0.77) was observed. The most significant discrepancies were found in cases of local complications after transurethral surgery (accordance in 39%) and laparoscopic radical prostatectomy (accordance in 55%), and in cases of severe general complications after Bricker operation (accordance in 58%). Conclusions:The variability of Clavien-Dindo classification scoring among urologists is significant. Thus, the Clavien-Dindo classification might require detailing before its eventual implementation in urology, together with appropriate training of specialists. However, despite some disadvantages, the simplicity, reproducibility and logical scheme of the Clavien-Dindo classification make it a promising tool for quality assessment in different fields of urology.
SUMMARYThe paper characterizes a group of rarer vascular plants discovered in the area of Lublin city. With the stations examined, all kinds of information collected about them were taken into account. The study took into consideration unpublished herbarium materials and the published ones from strictly definite stations as well as those without a specified location. With stations of this kind, only source information was given. The new plant stations included their exact description: location in the ATPOL grid squares 10 km x 10 km, site of occurrence in a specific part of Lublin, habitat conditions, and number of plant specimens. Altogether, the stations of 74 plants with the numerical majority of apophytes (50 species) over anthropophytes (24 species) were characterized. Out of these, 40 species had not been previously published from Lublin, while 9 others were given from few stations, either strictly specified or without a specified location in the ATPOL grid. Examples of these plants include Achillea pannonica, Alchemilla glaucescens, Asplenium ruta-muraria, Bidens connata, Carex buxbaumii, C. davalliana, in the former case, and Borago officinalis, Coronopus squamatus, Genista germanica, Geranium molle in the latter. Worth noting are the investigated plants that are totally or partly legal protected (9 species) and with a different degree of danger to their stations (22 species). These plants embrace for example: Centaurium erytrea ssp. erytrea, C. pulchellum, Dactylorhiza maculata, Epipactis hellborine, in the former case, and Androsace septentrionalis, Artemisia scoparia, Campanula latifolia, Carex davalliana, C. praecox, C. umbrosa in the latter. Moreover, four species can be classified as belonging to both these groups. They are: Dactylorhiza maculata, Dianthus armeria, Iris sibirica, Ornithogalum collinum. 10.2478/v10067-008-0001-6Unauthenticated Download Date | 6/7/19 5:14 AM 8 ANNA RYSIAK, FLORIAN ŚWIĘS, PIOTR ŚWINIARSKI STRESZCZENIE W pracy podano stanowiska rzadszych roślin naczyniowych, w skali regionalnej i krajowej, odnalezionych w obrębie miasta Lublina. Przy rozpatrywanych stanowiskach roślin wzięto pod uwagę wszystkie rodzaje zgromadzonych o nich informacji. Uwzględniono zarówno niepublikowane materiały zielnikowe oraz publikowane ze ściśle określonych stanowisk, jak i te bez bliższej ich lokalizacji. Przy tego typu stanowiskach podano tylko informacje źródłowe. Przy nowych stanowiskach roślin uwzględniono dokładną ich charakterystykę: położenie na tle pól siatki kwadratów ATPOL o boku 1 km x 1 km, miejsce występowania w określonej części Lublina, warunki siedliskowe i zasobność stanowiska. Praca obejmuje charakterystykę stanowisk 74 gatunków roślin naczyniowych z ilościową przewagą apofitów (50 gat.) nad antropofitami (24 gat.). Spośród omawianych roślin 40 gatunków nie było publikowanych dotąd z Lublina, 9 gatunków było podawanych z terenu Lublina, ale prace na ich temat nie zawierały dokładnej lokalizacji stanowiska na terenie miasta w obrębie siatki ATPOL oraz jego zasobności. Przykładem ...
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.