PURPOSE: Bleeding disorders or the use of anticoagulant medication are contraindications to transurethral prostate resection in @entity1 with lower urinary tract symptoms (LUTS) suggestive of @entity1067 ( @entity1067 ). Laser prostatectomy has proved to be adequate surgical therapy with less @entity190 than transurethral prostate resection. MATERIALS AND METHODS: A prospective, controlled study was done in @entity1 at high risk (HR) with LUTS suggestive of @entity1067 . They were treated with @entity5526 ( @entity5526 ) or the combination of @entity5526 with visual laser ablation prostatectomy (VLAP). HR was defined as @entity3459 or anticoagulants use. As a control, @entity1 at normal risk with LUTS suggestive of @entity1067 were treated with @entity5526 . @entity1 completed validated questionnaires and underwent urodynamics at baseline and 6 months postoperatively. RESULTS: A total of 75 @entity1 were included, namely 19 in the HR- @entity5526 group, 11 in the HR- @entity5526 -VLAP group and 45 in the normal risk @entity5526 group. Obstruction relief, and symptomatic and subjective improvement were equal in all 3 groups. Effective capacity (maximum cystometric capacity minus post-void residual volume) also improved significantly in all except the HR- @entity5526 group. Maximum urine flow improved in all groups but not significantly in the HR- @entity5526 group. Intraoperative and @entity260 were slightly higher in HR cases. However, blood transfusion was never necessary and there was no mortality. CONCLUSIONS: @entity5526 and especially @entity5526 -VLAP perform almost as well in HR cases compared with @entity5526 in those at normal risk. These procedures are safe for @entity1 at HR with LUTS suggestive of @entity1067 .

Laser prostatectomy in patients on anticoagulant therapy or with XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'men'] @entity190 :: ('MESH:D006473', 'Disease') :: ['blood loss'] @entity1067 :: ('MESH:D011470', 'Disease') :: ['benign prostatic hyperplasia', 'BPH'] @entity5526 :: ('MESH:D003877', 'Disease') :: ['CLP', 'contact laser prostatectomy'] @entity260 :: ('MESH:D011183', 'Disease') :: ['postoperative complications'] @entity3459 :: ('MESH:D025861', 'Disease') :: ['bleeding disorders']
@entity3459 :: (MESH:D025861,Disease) :: ['bleeding disorders']
