[Combined endoscopic treatment of patients with prostatic adenoma]

We studied efficacy of combined surgical treatment of patients with prostatic adenoma (PA) including laser vaporization (LV) and transurethral electroresection (TUER). A total of 294 PA patients entered the trial. Photoselective LV was made with GreenLight PVP laser (80 W) in 180 patients and Dornier Urobeam laser on the basis of diode laser (940 nm) in 34 patients. The other 60 and 20 patients after photoselective LV (GreenLight PVP 80-W laser) and (Dornier Urobeam laser), respectively, have undergone TUER of coagulative-necrotic scab after vaporization. The analysis of the treatment results show that laser vaporization on both lasers is followed with dysuria in 26.6 and 32.4% patients, respectively, while in combination of LV with TUER - in 11.25% patients. Thus, the above combined endoscopic treatment can be recommended as most effective as it rapidly improves quality of life of the patients.