Shafique Ur Rehman Memon.
Subjective Comparison of TURP and Laser Prostatectomy "The Pain - Dysuria Syndrome".
Biomedica Jan ;17:30-1.

Prejudice against endoscopic laser ablation of the prostate (FLAP) has resulted in part from the perception that patients have increased prostatic pain, dysuria due to the sloughing of the denatured tissue over a three months period. This study has addressed this question in detail. To confirm or refute this, 20 consecutive patients, 11 undergoing ELAP, and 9 TURP, returned questionnaire each week following the operation to asses post-operative pain and dysuria. Dysuria was a prominent feature of ELAP in the 1st eight weeks then no difference was noted between two groups. There was no difference found in the intensity of pain experienced by the patient between the laser and resection groups. The laser patients became pain free earlier than the TURP group. The perineum is the common site of pain in ELAP group, which is very rare following TURP. ELAP patients predominantly get pain relief by rest. This study confirms that dysuria is a prominent feature of laser prostatectomy in the first eight weeks following surgery, however the amount of pain experienced following laser prostatectomy is no different from endoscopic resection. Deep perineal pain and pain relief by rest were important findings of this group.

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