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Holmium laser enucleation for large (greater than 100 mL) prostate glands

Identifieur interne : 001271 ( Main/Exploration ); précédent : 001270; suivant : 001272

Holmium laser enucleation for large (greater than 100 mL) prostate glands

Auteurs : Janaka A. Hettiarachchi [États-Unis] ; Albert A. Samadi [États-Unis] ; Sensuke Konno [États-Unis] ; Akhil K. Das [États-Unis]

Source :

RBID : ISTEX:89F215BDDBD7ADA186E61B2C6AD92F2966319FF5

English descriptors

Abstract

Background: To evaluate the holmium laser enucleation of the prostate (HoLEP) using the transurethral soft tissue morcellator (TUSTM), as a primary surgical treatment for symptomatic benign prostatic hyperplasia (BPH) with prostate glands > 100 mL.
Methods: Eighteen patients with preoperative prostate volumes > 100 mL underwent the HoLEP procedure. The criteria for surgery were determined by a preoperative International Prostate Symptom Score (IPSS), a prior failure of medical therapy, and urinary retention.
Results: The mean preoperative IPSS and prostate gland size were 13.8 and 142.3 mL, respectively. The total energy used by the laser was 288.4 kJ. The mean catheter time was 23.8 h and, perioperatively, no patients had electrolyte abnormalities or required blood transfusions. The 3‐week postoperative IPSS was 2.8, with minimum long‐term complications.
Conclusions: Holmium laser enucleation of the prostate with TUSTM is a safe and effective alternative to open prostatic surgery for glands > 100 mL.

Url:
DOI: 10.1046/j.1442-2042.2002.00457.x


Affiliations:


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Le document en format XML

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<term>Blood transfusions</term>
<term>Catheter time</term>
<term>Effective alternative</term>
<term>Endoscopic</term>
<term>Endourol</term>
<term>Enucleated</term>
<term>Enucleation</term>
<term>Fraundorfer</term>
<term>Gilling</term>
<term>Holep</term>
<term>Holep technique</term>
<term>Holmium</term>
<term>Holmium laser</term>
<term>Holmium laser enucleation</term>
<term>Holmium laser resection</term>
<term>Holrp</term>
<term>Holrp technique</term>
<term>Hyperplasia</term>
<term>Incision</term>
<term>Ipss</term>
<term>Laser</term>
<term>Lateral lobe</term>
<term>Median lobe</term>
<term>Morcellator</term>
<term>Open prostatectomy</term>
<term>Perioperative</term>
<term>Postoperative</term>
<term>Preoperative</term>
<term>Prostate</term>
<term>Prostate glands</term>
<term>Prostatectomy</term>
<term>Prostatic</term>
<term>Prostatic capsule</term>
<term>Resection</term>
<term>Tissue morcellator</term>
<term>Transfusion</term>
<term>Transurethral</term>
<term>Transurethral resection</term>
<term>Turp</term>
<term>Tustm</term>
<term>Urol</term>
<term>Urology</term>
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<div type="abstract">Background: To evaluate the holmium laser enucleation of the prostate (HoLEP) using the transurethral soft tissue morcellator (TUSTM), as a primary surgical treatment for symptomatic benign prostatic hyperplasia (BPH) with prostate glands > 100 mL.</div>
<div type="abstract">Methods: Eighteen patients with preoperative prostate volumes > 100 mL underwent the HoLEP procedure. The criteria for surgery were determined by a preoperative International Prostate Symptom Score (IPSS), a prior failure of medical therapy, and urinary retention.</div>
<div type="abstract">Results: The mean preoperative IPSS and prostate gland size were 13.8 and 142.3 mL, respectively. The total energy used by the laser was 288.4 kJ. The mean catheter time was 23.8 h and, perioperatively, no patients had electrolyte abnormalities or required blood transfusions. The 3‐week postoperative IPSS was 2.8, with minimum long‐term complications.</div>
<div type="abstract">Conclusions: Holmium laser enucleation of the prostate with TUSTM is a safe and effective alternative to open prostatic surgery for glands > 100 mL.</div>
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