Clinical Study of HoLEP for the Patients with Benign Prostatic Hyperplasia who are on Oral Antithrombotics

Recently, holmium laserenucleation of the prostate (HoLEP) was associated with less bleeding compared with transurethral resection of prostate. Since 2012, we have performed HoLEP for benign prostatic hyperplasia (BPH) under continuous oral antithrombotics (OA). Between October 2004 and March 2015,...

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Veröffentlicht in:Hinyokika kiyo. Acta urologica Japonica. - 1962. - 63(2017), 8 vom: 09. Aug., Seite 307-311
1. Verfasser: Matuoka, Takashi (VerfasserIn)
Weitere Verfasser: Suzuki, Issei, Suzuki, Ryosuke, Fukunaga, Arinobu, Dohi, Yoichiro, Sugino, Yoshio, Inoue, Koji, Kawakita, Mutsushi
Format: Online-Aufsatz
Sprache:Japanese
Veröffentlicht: 2017
Zugriff auf das übergeordnete Werk:Hinyokika kiyo. Acta urologica Japonica
Schlagworte:Journal Article Antithrombotic therapy HoLEP Fibrinolytic Agents Holmium W1XX32SQN1
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520 |a Recently, holmium laserenucleation of the prostate (HoLEP) was associated with less bleeding compared with transurethral resection of prostate. Since 2012, we have performed HoLEP for benign prostatic hyperplasia (BPH) under continuous oral antithrombotics (OA). Between October 2004 and March 2015, 54 patients with BPH underwent HoLEP while on OA at our hospital. Eight patients underwent HoLEP without OA cessation and 46 patients with temporary OA cessation. No significant between-group difference was observed in age, prostate volume, transitional zone prostate volume, operation time, resection weight, resection weight per minute, urethral catheter duration, Hb decrease on day 1 post- HoLEP, hospital stay after HoLEP, bleeding intraoperative rate, bleeding rate after HoLEP and transfusion rate. None presented embolic complications. HoLEP was safe without OA cessation. However, highvolume BPH patients without OA cessation required intraoperative transfusion. Thus, high-volume BPH patients may benefit from OA cessation 
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700 1 |a Suzuki, Issei  |e verfasserin  |4 aut 
700 1 |a Suzuki, Ryosuke  |e verfasserin  |4 aut 
700 1 |a Fukunaga, Arinobu  |e verfasserin  |4 aut 
700 1 |a Dohi, Yoichiro  |e verfasserin  |4 aut 
700 1 |a Sugino, Yoshio  |e verfasserin  |4 aut 
700 1 |a Inoue, Koji  |e verfasserin  |4 aut 
700 1 |a Kawakita, Mutsushi  |e verfasserin  |4 aut 
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