Aquablation for benign prostatic obstruction: Single center technique evolution and experience

Autor: Muhieddine Labban, Mazen Mansour, Nicolas Abdallah, Rola Jaafar, Wassim Wazzan, Muhammad Bulbul, Albert El-Hajj
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Investigative and Clinical Urology, Vol 62, Iss 2, Pp 210-216 (2021)
Druh dokumentu: article
ISSN: 2466-0493
2466-054X
DOI: 10.4111/icu.20200249
Popis: Purpose: Aquablation is a new technology that relies on real-time ultrasound guidance to ablate prostatic tissues using high velocity pressurized water. We hereby present our data and experience in this technique by exploring the perioperative surgical and functional outcomes. Materials and Methods: This is a prospectively filled study including consecutive patients who underwent aquablation at our Middle Eastern tertiary care center. Patient demographics, voiding parameters, and prostate disease specific variables were collected. We reported on the surgical and functional outcomes as well as the 3-month adverse events. We also explored the trend in hemoglobin drop and hemostasis method by dividing the consecutive cases into four temporal periods. Results: Fifty-nine patients underwent aquablation between March 2018 and March 2020. Mean time from transrectal ultrasound to Foley insertion was 48.5±2.5 minutes. Cautery was performed in 35 patients (59.3%) and a catheter-tensioning device was mounted in 50 patients (84.7%). On average, the hemoglobin dropped by −1.7±0.2 ng/dL (p
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