Laparoscopic simple prostatectomy vs bipolar plasma enucleation of the prostate in large benign prostatic hyperplasia: a two-center 3-year comparison
| Autor: | Riccardo Lombardo, Manuel Ruibal Moldes, Aaron Barreiro Mallo, Giorgia Tema, Anton Zarraonandia Andraca, Cristina Plaza Alonso, Valeria Baldassarri, Cosimo De Nunzio, Luca Albanesi, Higinio Rodríguez Núñez, Barbara Cristina Gentile, Roberto Giulianelli, Juan A González-Dacal, Andrea Tubaro, Luca Mavilla |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Nephrology
Male medicine.medical_specialty Time Factors Urology medicine.medical_treatment Enucleation 030232 urology & nephrology bph btuep luts laparoscopic simple prostatectomy prostatic disease Prostatic disease Electrosurgery Prostatic Hyperplasia Physical examination 03 medical and health sciences 0302 clinical medicine Postoperative Complications Prostate Lower urinary tract symptoms Laparoscopic simple prostatectomy Internal medicine medicine Humans Aged Retrospective Studies Aged 80 and over Prostatectomy medicine.diagnostic_test business.industry LUTS Hyperplasia Middle Aged medicine.disease medicine.anatomical_structure BTUEP Treatment Outcome 030220 oncology & carcinogenesis BPH Quality of Life Original Article Laparoscopy business Cohort study |
| Zdroj: | World Journal of Urology |
| ISSN: | 1433-8726 0724-4983 |
| Popis: | Purpose To compare surgery outcomes and safety of button bipolar enucleation of the prostate vs laparoscopic simple prostatectomy in patients with large prostates (> 80 g) in a two-center cohort study. Methods All patients with lower urinary tract symptoms due to benign prostatic enlargement (Prostate volume > 80 cc) undergoing button bipolar enucleation of the prostate (BTUEP) or laparoscopic simple prostatectomy (LSP) in two centers were enrolled. Data on clinical history, physical examination, urinary symptoms, uroflowmetry and prostate volume were collected at 0, 1, 3 6, 12, 24 and 36 months. Early and long-term complications were recorded. Results Overall, 296 patients were enrolled. Out of them, 167/296 (56%) performed a LSP and 129/296 (44%) performed a BTUEP. In terms of efficacy both procedures showed durable results at three years with a reintervention rate of 8% in the LSP group and of 5% in the BTUEP group. In terms of safety, BTUEP and LSP presented similar safety profiles with a 9% of transfusion rate and no major complications. Conclusion LSP and BTUEP are safe and effective in treating large-volume adenomas with durable results at three years when performed in experienced centers. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink