Preoperative predictors of enucleation time during en bloc ‘no-touch’ holmium laser enucleation of the prostate
| Autor: | Sheng-Chen Wen, Wen-Jeng Wu, Ching-Chia Li, Chun-Hsuan Lin |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty genetic structures Urology Urinary system Operative Time Enucleation Prostatic Hyperplasia Holmium laser Lasers Solid-State lcsh:RC870-923 Surgical methods Prostate Humans Medicine Aged Retrospective Studies Aged 80 and over Prostatectomy Benign prostatic hyperplasia business.industry Enucleation time General Medicine Perioperative Middle Aged Hyperplasia medicine.disease lcsh:Diseases of the genitourinary system. Urology En bloc ‘no-touch’ enucleation Specimen weight Surgery medicine.anatomical_structure Reproductive Medicine Holmium laser enucleation of the prostate Preoperative Period business Preoperative predictors Forecasting Research Article |
| Zdroj: | BMC Urology, Vol 20, Iss 1, Pp 1-7 (2020) BMC Urology |
| ISSN: | 1471-2490 |
| DOI: | 10.1186/s12894-020-00758-4 |
| Popis: | Background To evaluate preoperative predictors of enucleation time during en bloc ‘no-touch’ holmium laser enucleation of the prostate (HoLEP) Methods We enrolled 135 patients with symptomatic benign prostatic hyperplasia (BPH) treated with en bloc ‘no-touch’ HoLEP from July 2017 to March 2019 by a single surgeon. Preoperative, perioperative, and postoperative clinical variables were examined. Stepwise linear regression was performed to determine clinical variables associated with enucleation times. Result The average (range) enucleation time was 46.1 (12–220) minutes, and the overall operation time was 71 (18–250) minutes. History of antiplatelet agents, history of urinary tract infection (UTI), and increasing specimen weight were each significantly associated with increasing enucleation time. No category IV complications were recorded, and all complications were evenly distributed among the groups according to the HoLEP specimen weight. Conclusion En bloc ‘no-touch’ HoLEP was found to be an efficient and reproducible surgical method for treating BPH. Prostatic gland size was significantly associated with increased enucleation times. Similarly, history of UTI and antiplatelet agents were correlated with increased operative time. |
| Databáze: | OpenAIRE |
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