Holmium laser enucleation for large (greater than 100 mL) prostate glands
Identifieur interne : 001271 ( Main/Exploration ); précédent : 001270; suivant : 001272Holmium 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 :
- International Journal of Urology [ 0919-8172 ] ; 2002-05.
English descriptors
- Teeft :
- Benign prostatic hyperplasia, Bladder, Blood transfusions, Catheter time, Effective alternative, Endoscopic, Endourol, Enucleated, Enucleation, Fraundorfer, Gilling, Holep, Holep technique, Holmium, Holmium laser, Holmium laser enucleation, Holmium laser resection, Holrp, Holrp technique, Hyperplasia, Incision, Ipss, Laser, Lateral lobe, Median lobe, Morcellator, Open prostatectomy, Perioperative, Postoperative, Preoperative, Prostate, Prostate glands, Prostatectomy, Prostatic, Prostatic capsule, Resection, Tissue morcellator, Transfusion, Transurethral, Transurethral resection, Turp, Tustm, Urol, Urology.
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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<sourceDesc><biblStruct><analytic><title level="a" type="main">Holmium laser enucleation for large (greater than 100 mL) prostate glands</title>
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<term>Bladder</term>
<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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<front><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>
</front>
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<name sortKey="Das, Akhil K" sort="Das, Akhil K" uniqKey="Das A" first="Akhil K" last="Das">Akhil K. Das</name>
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<name sortKey="Samadi, Albert A" sort="Samadi, Albert A" uniqKey="Samadi A" first="Albert A" last="Samadi">Albert A. Samadi</name>
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