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Published in: Lasers in Medical Science 1/2008

01-01-2008 | Original Article

Differences in stress response between patients undergoing transurethral resection versus endoscopic laser ablation of the prostate for benign prostatic hyperplasia

Authors: Goran Bedalov, Zeljko Bartolin, Damir Puskar, Ivan Savić, Ivana Bedalov, Marija Rudolf, Drago Batinić

Published in: Lasers in Medical Science | Issue 1/2008

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Abstract

The objective of the study was to determine the differences in systemic stress response in patients undergoing transurethral resection of the prostate (TURP) versus endoscopic laser ablation of the prostate (ELAP) for benign prostatic hyperplasia (BPH). The study included 48 patients with BPH (24 treated by TURP and 24 by ELAP). Blood samples were taken from each patient before and immediately after the procedure and on postoperative days 1, 6, and 20, respectively. TURP caused more intense acute-phase response during 24 h after the procedure considering the serum c-reactive protein (CRP) level (p < 0,001) and absolute leukocyte (p = 0.001) and neutrophil number (p = 0.003) in peripheral blood. ELAP caused more decrease in the number of natural killer cells immediately after the procedure (p = 0.048). There were no statistically significant differences between TURP and ELAP procedures in protein and creatine kinase (CK) levels, adrenocorticotropic hormone, and cortisol as well as other immunological parameters. TURP causes more intense acute-phase response than ELAP.
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Metadata
Title
Differences in stress response between patients undergoing transurethral resection versus endoscopic laser ablation of the prostate for benign prostatic hyperplasia
Authors
Goran Bedalov
Zeljko Bartolin
Damir Puskar
Ivan Savić
Ivana Bedalov
Marija Rudolf
Drago Batinić
Publication date
01-01-2008
Publisher
Springer-Verlag
Published in
Lasers in Medical Science / Issue 1/2008
Print ISSN: 0268-8921
Electronic ISSN: 1435-604X
DOI
https://doi.org/10.1007/s10103-007-0462-x

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