Objective To compare transurethral electrovaporization longer than that of TURP, at 39.7 (8.8) min (P<0.001). One hour after TURP, patients had sigof the prostate (TUVP) with conventional transurethral resection of the prostate (TURP) in the treatment of nificantly lower levels of haemoglobin, haematocrit and Na. The mean (sd) duration of catheterization men with benign prostatic hyperplasia (BPH). Patients and methods Seventy consecutive patients with after TURP was 2 (0.8) days, significantly more than after TUVP, at 1.1 (0.4) days (P<0.001). The mean symptomatic BPH and a prostate size of <60 g were prospectively randomized between equal treatment (sd) hospital stay was 2.5 (1) days after TURP and 1.5 (0.7) after TUVP (P<0.001). Compared with groups; one group underwent standard TURP and the other TUVP. Patients were assessed at baseline and 1, baseline values, the AUA-7 symptom score, Q max and PVR improved significantly in both groups at all 3, 6 and 12 months after treatment, giving a mean (sd) duration of follow-up of 14.4 (1.9) months (range intervals of follow-up and there were no significant diÂerences between the groups during the follow-up. 12-17). Variables evaluated included the duration of operation, catheterization and hospital stay, and None of 15 potent men undergoing TURP and two of 18 potent men undergoing TUVP complained of impochanges in blood levels of haemoglobin, haematocrit and sodium 1 h after the operation. The American tence during the follow-up. Conclusions TUVP is as eÂective as TURP in the treatUrologic Association (AUA)-7 symptom score, peak urinary flow rate (Q max ), post-voiding residual urine ment of BPH in men with a prostate size of <60 g. TUVP has the advantages of less blood loss, less volume (PVR) and sexual function were also evaluated during the follow-up.absorption of irrigant and a shorter hospital stay, but it had a significantly longer operative duration. Results Patients of both groups were balanced for the diÂerent baseline variables. The mean (sd) operative Keywords Transurethral electrovaporization, outcome, prostatectomy duration of TUVP was 52 (12.5) min, significantly complications, there has been a resurgence of interest in
Objective To investigate the eCect of nonsteroidal antiSix hours after giving diclofenac, the mean RI of normal kidneys remained stable and that of the inflammatory drugs (NSAIDs) on the findings of Doppler ultrasonography (DU) in patients with acute obstructed kidneys decreased significantly to 0.67 (0.06) (P<0.001) and was almost stable at 12 h. unilateral renal obstruction. Patients and methods The study included 60 patients Nevertheless, the mean RI of the obstructed kidneys remained significantly higher than that of the normal (120 kidneys) with unilateral loin pain suspected to be of renal origin. All patients were evaluated using kidneys at 6 and 12 h after diclofenac. The mean DRI decreased significantly from 0.11 (0.04) at baseline to renal ultrasonography (US) and intravenous urography (IVU) during the attack of loin pain and before 0.06 (0.04) at 6 h after diclofenac (P<0.001) and remained almost stable at 12 h. In the 10 patients giving any medication. Then the patients were given 75 mg diclofenac sodium and DU studies were repeated undergoing DU after the relief of obstruction, the mean RI returned to normal. At baseline, RI was sensitive at 6 and 12 h. In 10 patients with acute renal colic, DU was possible 12-24 h after the relief of ureteric in 70% and specific in 98%, while DRI was sensitive in 88% and specific in all cases. Six hours after obstruction. The mean resistive index (RI) and DRI at baseline were compared with the mean values 6 and diclofenac, the specificity of RI and DRI remained stable while the sensitivity decreased significantly to 12 h after giving diclofenac. The RI and DRI were considered positive at values Á0.70 and Á0.06, 50% and 68%, respectively. Conclusion NSAIDs significantly decrease the RI of acutrespectively. The sensitivity, specificity and overall accuracy of RI and DRI values before and after giving ely obstructed kidneys, causing a significant reduction in the sensitivity of DU values identifying acute renal diclofenac were calculated using IVU as the reference standard.obstruction. To evaluate acute loin pain, DU should be carried out while the patient is in pain and before Results IVU showed that both kidneys were normal in 20 patients that 40 had unilateral obstruction. At giving NSAIDs. Keywords Renal resistive index, renal colic, diagnosis, baseline, the mean (sd) RI was 0.72 (0.06) in the 40 obstructed kidneys, significantly higher than the RI of obstruction 0.60 (0.06) for the 60 normal kidneys (P<0.001).obstruction [10,11]. It is not known whether NSAIDs
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