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고령릉콜걸샵 1995;13(2):94-7.

인천출장샵후불100%출장소이스‹шрf636.сом›(카톡: wyk92)♜인천오피걸↞인천출장가격▩모텔출장마사지샵╊인천역출장안마☺인천출장업계위

인천출장샵후불100%출장서비스‹шрf636.сом›(카톡: wyk92)♪인천출장업소⇗인천출장샵콜걸┒안마☺인천op↪인천예약

Department of Urology, University of Bochum, Marienhospital, Herne, Germany.

인천출장샵후불100%마사지‹шрf636.сом›(카톡: wyk92)↶인천안마▨인천콜걸출장안마┄출장최강미녀✍인천콜걸추천├인천출장안마추천

Laser treatment has become increasingly attractive for treatment of bladder-outlet obstruction due to benign prostatic hyperplasia (BPH). However, it is unknown whether laser treatment may be as effective as transurethral resection of the prostate (TURP), how long effective treatments may last, and whether there may be substantial differences with respect to clinical outcome between different laser treatment modalities currently under clinical investigation. TULIP (transurethral ultrasound-guided laser-induced prostatectomy) was one of the very first laser systems designed for treatment of BPH. The procedure is performed exclusively under transurethral ultrasound guidance, with which the surgeon has to become familiar. However, data reported from single-institution as well as multicenter studies demonstrate that the technique has only a small learning curve. The majority of patients treated by TULIP will experience substantial improvements in subjective and/or objective symptoms, which nevertheless do not appear to be as good as those seen after TURP. This is also shown by data from a prospective and randomized TULIP versus TURP study. However, it has to be emphasized that the clinical significance of such differences remains unknown. Advantageous for TULIP (which may be performed under analgosedation) are reduced blood loss, hospitalization, and rate of postoperative sexual dysfunction. Disadvantageous (as compared with TURP) are the delayed onset of success combined with the prolonged catheterization time and irritative symptoms in the early postoperative phase. In addition, as no tissue is obtained for histology examination, incidental prostate cancer may be missed.

[Indexed for MEDLINE]

인천출장샵후불100%조건‹шрf636.сом›(카톡: wyk92)↑인천출장만남ⓥ인천출장샵강추ヨ콜걸추천┃인천역출장안마♝인천모텔출장

인천출장샵후불100%출장외국인‹шрf636.сом›(카톡: wyk92)┕인천마사지♝인천출장업소♬콜걸업소─인천출장오피ソ인천콜걸후기

인천출장샵후불100%출장최고시‹шрf636.сом›(카톡: wyk92)ロ인천op☢인천출장샵콜걸⇌출장시►인천출장오피✄인천출장미인아가씨