En bloc and two-lobe techniques for laser endoscopic enucleation of the prostate: retrospective comparative analysis of peri- and postoperative...

Enikeev D. V., Taratkin M. S., Laukhtina E. A., Alekseeva T. M., Snurnitsy'na O. V., Potoldy'kova N. V., Gerasimov A. N., Gly'bochko P. V.

International Urology and Nephrology

Vol.51, Issue11, P. 1969-1974

Опубликовано: 2019

Тип ресурса: Статья

DOI:10.1007/s11255-019-02259-2

Аннотация:

Objectives: Various techniques can be used for endoscopic enucleation of the prostate (EEP): removal of all nodes as a single unit (en bloc) or a step-by-step removal of adenomatous nodes (two- and three-lobe techniques). The objective of this study was to perform a comparative analysis of en bloc and two-lobe techniques for holmium laser enucleation of the prostate (HoLEP) and thulium fiber laser enucleation of the prostate (ThuFLEP). Methods: Retrospective assessment included patients with bladder outlet obstruction (IPSS > 20, Qmax < 10) secondary to BPH treated from January 2013 to December 2018. All the patients were assessed prior to surgery, as well as at 1, 3 and 6 months after surgery. Results: The data of 1115 patients who underwent HoLEP or ThuFLEP were analyzed. Two techniques were used: en bloc (406 patients) and two-lobe (709 patients). Mean prostate volumes were comparable between groups. Mean surgery times (68.8 ± 30.6 min vs 67.4 ± 30.1 min; p = 0.604) and enucleation

Ключевые слова:

BPH; EEP; En bloc; Endoscopic enucleation of the prostate; Two-lobe technique

aged; Article; bladder neck stenosis; bladder obstruction; case study; clinical effectiveness; controlled study; disease severity; endoscopic surgery; enucleation; hemostasis; human; hyperthermia; laser surgery; major clinical study; male; operation duration; patient safety; postoperative complication; prostate hypertrophy; prostate surgery; prostate volume; retrospective study; stress incontinence; treatment outcome; ureter injury; urethra stenosis; urine retention; comparative study; drug therapy; endoscopy; middle aged; procedures; prostate hypertrophy; prostatectomy; solid state laser; very elderly; thulium; Aged; Aged, 80 and over; Endoscopy; Humans; Lasers, Solid-State; Male; Middle Aged; Prostatectomy; Prostatic Hyperplasia; Retrospective Studies; Thulium; Treatment Outcome

Язык текста: Английский

ISSN: 1573-2584

Enikeev D. V. Dmitrij Viktorovich 1982-

Taratkin M. S. Mark Sergeevich 1993-

Laukhtina E. A. Ekaterina Aleksandrovna 1995-

Alekseeva T. M. Tat`yana Mikhaylovna 1962-

Snurnitsy'na O. V. Olesya Vyacheslavovna 1992-

Potoldy'kova N. V. Natal`ya Valerievna 1982-

Gerasimov A. N. Andrej Nikolaevich 1958-

Gly'bochko P. V. Petr Vitalyevich 1964-

Еникеев Д. В. Дмитрий Викторович 1982-

Тараткин М. С. Марк Сергеевич 1993-

Лаухтина Е. А. Екатерина Александровна 1995-

Алексеева Т. М. Татьяна Михайловна 1962-

Снурницына О. В. Олеся Вячеславовна 1992-

Потолдыкова Н. В. Наталья Валериевна 1982-

Герасимов А. Н. Андрей Николаевич 1958-

Глыбочко П. В. Петр Витальевич 1964-

En bloc and two-lobe techniques for laser endoscopic enucleation of the prostate: retrospective comparative analysis of peri- and postoperative outcomes

En bloc and two-lobe techniques for laser endoscopic enucleation of the prostate: retrospective comparative analysis of peri- and postoperative...

Текст визуальный непосредственный

International Urology and Nephrology

Springer Science+Business Media B.V., Formerly Kluwer Academic Publishers B.V.

Vol.51, Issue11 P. 1969-1974

2019

Статья

BPH EEP En bloc Endoscopic enucleation of the prostate Two-lobe technique

aged Article bladder neck stenosis bladder obstruction case study clinical effectiveness controlled study disease severity endoscopic surgery enucleation hemostasis human hyperthermia laser surgery major clinical study male operation duration patient safety postoperative complication prostate hypertrophy prostate surgery prostate volume retrospective study stress incontinence treatment outcome ureter injury urethra stenosis urine retention comparative study drug therapy endoscopy middle aged procedures prostate hypertrophy prostatectomy solid state laser very elderly thulium Aged Aged, 80 and over Endoscopy Humans Lasers, Solid-State Male Middle Aged Prostatectomy Prostatic Hyperplasia Retrospective Studies Thulium Treatment Outcome

Objectives: Various techniques can be used for endoscopic enucleation of the prostate (EEP): removal of all nodes as a single unit (en bloc) or a step-by-step removal of adenomatous nodes (two- and three-lobe techniques). The objective of this study was to perform a comparative analysis of en bloc and two-lobe techniques for holmium laser enucleation of the prostate (HoLEP) and thulium fiber laser enucleation of the prostate (ThuFLEP). Methods: Retrospective assessment included patients with bladder outlet obstruction (IPSS > 20, Qmax < 10) secondary to BPH treated from January 2013 to December 2018. All the patients were assessed prior to surgery, as well as at 1, 3 and 6 months after surgery. Results: The data of 1115 patients who underwent HoLEP or ThuFLEP were analyzed. Two techniques were used: en bloc (406 patients) and two-lobe (709 patients). Mean prostate volumes were comparable between groups. Mean surgery times (68.8 ± 30.6 min vs 67.4 ± 30.1 min; p = 0.604) and enucleation