Cargando…
Quality of life after photo-selective vaporization and holmium-laser enucleation of the prostate: 5-year outcomes
This study was aimed to compare serial long-term postoperative changes in quality-of-life (QoL) between photoselective-vaporization (PVP) using 120W-High-Performance-System and holmium-laser-enucleation (HoLEP) in benign-prostatic-hyperplasia (BPH) patients and to identify factors influencing the Qo...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group UK
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6547661/ https://www.ncbi.nlm.nih.gov/pubmed/31164686 http://dx.doi.org/10.1038/s41598-019-44686-2 |
_version_ | 1783423726645149696 |
---|---|
author | Sun, Inyoung Yoo, Sangjun Park, Juhyun Cho, Sung Yong Jeong, Hyeon Son, Hwancheol Oh, Seung-June Paick, Jae-Seung Cho, Min Chul |
author_facet | Sun, Inyoung Yoo, Sangjun Park, Juhyun Cho, Sung Yong Jeong, Hyeon Son, Hwancheol Oh, Seung-June Paick, Jae-Seung Cho, Min Chul |
author_sort | Sun, Inyoung |
collection | PubMed |
description | This study was aimed to compare serial long-term postoperative changes in quality-of-life (QoL) between photoselective-vaporization (PVP) using 120W-High-Performance-System and holmium-laser-enucleation (HoLEP) in benign-prostatic-hyperplasia (BPH) patients and to identify factors influencing the QoL improvement at the short-term, mid-term and long-term follow-up visits after surgery. We analyzed 1,193 patients with a baseline QoL-index ≥2 who underwent PVP (n = 439) or HoLEP (n = 754). Surgical outcomes were serially compared between the two groups at up to 60-months using the International-Prostatic-Symptom-Score (I-PSS), uroflowmetry, and serum PSA. We used logistic regression analysis to identify predictors of QoL improvement (a reduction in the QoL-index ≥50% compared with baseline) at the short-term (12-months), mid-term (36-months), and long term (60-months) follow-up after surgery. In both groups, the QoL-index was decreased throughout the entire follow-up period compared with that at baseline. There were no significant differences in postoperative changes from the baseline QoL-index between the two groups during the 48-month follow-up, except at 60-months. The degree of improvement in QoL at 60-months after HoLEP was greater than that after PVP. A lower baseline storage-symptom-subscore and a higher bladder-outlet-obstruction-index (BOOI) were independent factors influencing QoL improvement at the short-term. No independent factor influences QoL improvement at the mid- or long-term. |
format | Online Article Text |
id | pubmed-6547661 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-65476612019-06-10 Quality of life after photo-selective vaporization and holmium-laser enucleation of the prostate: 5-year outcomes Sun, Inyoung Yoo, Sangjun Park, Juhyun Cho, Sung Yong Jeong, Hyeon Son, Hwancheol Oh, Seung-June Paick, Jae-Seung Cho, Min Chul Sci Rep Article This study was aimed to compare serial long-term postoperative changes in quality-of-life (QoL) between photoselective-vaporization (PVP) using 120W-High-Performance-System and holmium-laser-enucleation (HoLEP) in benign-prostatic-hyperplasia (BPH) patients and to identify factors influencing the QoL improvement at the short-term, mid-term and long-term follow-up visits after surgery. We analyzed 1,193 patients with a baseline QoL-index ≥2 who underwent PVP (n = 439) or HoLEP (n = 754). Surgical outcomes were serially compared between the two groups at up to 60-months using the International-Prostatic-Symptom-Score (I-PSS), uroflowmetry, and serum PSA. We used logistic regression analysis to identify predictors of QoL improvement (a reduction in the QoL-index ≥50% compared with baseline) at the short-term (12-months), mid-term (36-months), and long term (60-months) follow-up after surgery. In both groups, the QoL-index was decreased throughout the entire follow-up period compared with that at baseline. There were no significant differences in postoperative changes from the baseline QoL-index between the two groups during the 48-month follow-up, except at 60-months. The degree of improvement in QoL at 60-months after HoLEP was greater than that after PVP. A lower baseline storage-symptom-subscore and a higher bladder-outlet-obstruction-index (BOOI) were independent factors influencing QoL improvement at the short-term. No independent factor influences QoL improvement at the mid- or long-term. Nature Publishing Group UK 2019-06-04 /pmc/articles/PMC6547661/ /pubmed/31164686 http://dx.doi.org/10.1038/s41598-019-44686-2 Text en © The Author(s) 2019 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Article Sun, Inyoung Yoo, Sangjun Park, Juhyun Cho, Sung Yong Jeong, Hyeon Son, Hwancheol Oh, Seung-June Paick, Jae-Seung Cho, Min Chul Quality of life after photo-selective vaporization and holmium-laser enucleation of the prostate: 5-year outcomes |
title | Quality of life after photo-selective vaporization and holmium-laser enucleation of the prostate: 5-year outcomes |
title_full | Quality of life after photo-selective vaporization and holmium-laser enucleation of the prostate: 5-year outcomes |
title_fullStr | Quality of life after photo-selective vaporization and holmium-laser enucleation of the prostate: 5-year outcomes |
title_full_unstemmed | Quality of life after photo-selective vaporization and holmium-laser enucleation of the prostate: 5-year outcomes |
title_short | Quality of life after photo-selective vaporization and holmium-laser enucleation of the prostate: 5-year outcomes |
title_sort | quality of life after photo-selective vaporization and holmium-laser enucleation of the prostate: 5-year outcomes |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6547661/ https://www.ncbi.nlm.nih.gov/pubmed/31164686 http://dx.doi.org/10.1038/s41598-019-44686-2 |
work_keys_str_mv | AT suninyoung qualityoflifeafterphotoselectivevaporizationandholmiumlaserenucleationoftheprostate5yearoutcomes AT yoosangjun qualityoflifeafterphotoselectivevaporizationandholmiumlaserenucleationoftheprostate5yearoutcomes AT parkjuhyun qualityoflifeafterphotoselectivevaporizationandholmiumlaserenucleationoftheprostate5yearoutcomes AT chosungyong qualityoflifeafterphotoselectivevaporizationandholmiumlaserenucleationoftheprostate5yearoutcomes AT jeonghyeon qualityoflifeafterphotoselectivevaporizationandholmiumlaserenucleationoftheprostate5yearoutcomes AT sonhwancheol qualityoflifeafterphotoselectivevaporizationandholmiumlaserenucleationoftheprostate5yearoutcomes AT ohseungjune qualityoflifeafterphotoselectivevaporizationandholmiumlaserenucleationoftheprostate5yearoutcomes AT paickjaeseung qualityoflifeafterphotoselectivevaporizationandholmiumlaserenucleationoftheprostate5yearoutcomes AT chominchul qualityoflifeafterphotoselectivevaporizationandholmiumlaserenucleationoftheprostate5yearoutcomes |