A novel one lobe technique of thulium laser enucleation of the prostate: 'All-in-One' technique
| Autor: | Yeon Joo Kim, Sung Ryong Cho, Yoon Hyung Lee, Joon Beom Kwon, Jae Soo Kim |
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| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Operative Time Enucleation Prostatic Hyperplasia Urology Lasers Solid-State Urine flow rate Laser therapy Prostate medicine Humans Aged Retrospective Studies medicine.diagnostic_test business.industry Transurethral Resection of Prostate Retrospective cohort study Perioperative Middle Aged Prostate-Specific Antigen Surgery Prostate-specific antigen Treatment Outcome medicine.anatomical_structure Thulium Endourology/Urolithiasis Transrectal ultrasonography Original Article International Prostate Symptom Score business |
| Zdroj: | Korean Journal of Urology |
| ISSN: | 2005-6745 2005-6737 |
| Popis: | Purpose: The thulium laser is the most recently introduced technology for the surgical treatment of benign prostatic hyperplasia (BPH). Until recently, most thulium laser enucleation of the prostate (ThuLEP) was performed by use of the three-lobe technique. We introduce a novel one-lobe enucleation technique for ThuLEP called the “All-in-One” technique. We report our initial experiences here. Materials and Methods: From June 2013 to May 2014, a total of 47 patients underwent the All-in-One technique of ThuLEP for symptomatic BPH performed by a single surgeon. All patients were assessed with the International Prostate Symptom Score (IPSS), transrectal ultrasonography, serum prostate-specific antigen (PSA), maximal urine flow rate (Qmax), and postvoid residual urine volume (PVR) before and 1 month after surgery. We reassessed IPSS, Qmax, and PVR 3 months after surgery. To assess the efficacy of the All-in-One technique, we checked the PSA reduction ratio, transitional zone volume reduction ratio, and enucleation failure rate. Results: The mean operative time was 82.1±33.3 minutes. The mean enucleation time and morcellation time were 52.7±21.7 minutes and 8.2±7.0 minutes, respectively. The mean resected tissue weight and decrease in hemoglobin were 36.9±24.6 g and 0.4±0.8 g/dL, respectively. All perioperative parameters showed significant improvement (p |
| Databáze: | OpenAIRE |
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