The evaluation of tissue mass loss in the incision line of prostate with benign hyperplasia performed using holmium laser and cutting electrode
Identifieur interne : 000244 ( Main/Exploration ); précédent : 000243; suivant : 000245The evaluation of tissue mass loss in the incision line of prostate with benign hyperplasia performed using holmium laser and cutting electrode
Auteurs : Mariusz Szewczyk [Pologne] ; Dorota Jesionek Upnicka [Pologne] ; Marek Ireneusz Lipi Ski [Pologne] ; Piotr Lipinski [Pologne] ; Waldemar R A Ski [Pologne]Source :
- Central European Journal of Urology [ 2080-4806 ] ; 2014.
Abstract
The aim of this study is to compare the changes in the incision line of prostatic adenoma using a monopolar cutting electrode and holmium laser, as well as the assessment of associated tissue mass and volume loss of benign prostatic hyperplasia (BPH).
The material used in this study consisted of 74 preparations of prostatic adenoma obtained via open retropubic adenomectomy, with an average volume of 120.7 ml. The material obtained cut in vitro before fixation in formaldehyde. One lobe was cut using holmium laser, the other using a monopolar cutting electrode. After the incision was made, tissue mass and volume loss were evaluated. Thermocoagulation changes in the incision line were examinedunder light microscope.
In the case of the holmium laser incision, the average tissue mass loss was 1.73 g, tissue volume loss 3.57 ml and the depth of thermocoagulation was 1.17 mm. When the monopolar cutting electrode was used average tissue mass loss was 0.807 g, tissue volume loss 2.48 ml and the depth of thermocoagulation was 0.19 mm.
Where holmium laser was used, it was observed that the layer of tissue with thermocoagulation changes was deeper than in the case of the monopolar cutting electrode. Moreover, it was noticed that holmium laser caused bigger tissue mass and volume loss than the cutting electrode.
Url:
DOI: 10.5173/ceju.2014.03.art14
PubMed: 25247088
PubMed Central: 4165671
Affiliations:
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hyperplasia performed using holmium laser and cutting electrode</title><author><name sortKey="Szewczyk, Mariusz" sort="Szewczyk, Mariusz" uniqKey="Szewczyk M" first="Mariusz" last="Szewczyk">Mariusz Szewczyk</name><affiliation wicri:level="1"><nlm:aff id="AF0001">2<sup>nd</sup> Clinic of Urology, Medical University of Łódź, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea> Clinic of Urology, Medical University of Łódź</wicri:regionArea><wicri:noRegion>Medical University of Łódź</wicri:noRegion></affiliation></author><author><name sortKey="Jesionek Upnicka, Dorota" sort="Jesionek Upnicka, Dorota" uniqKey="Jesionek Upnicka D" first="Dorota" last="Jesionek Upnicka">Dorota Jesionek Upnicka</name><affiliation wicri:level="1"><nlm:aff id="AF0002">Pathology Unit and Department of Oncology, Medical University of Łódź, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Pathology Unit and Department of Oncology, Medical University of Łódź</wicri:regionArea><wicri:noRegion>Medical University of Łódź</wicri:noRegion></affiliation></author><author><name sortKey="Lipi Ski, Marek Ireneusz" sort="Lipi Ski, Marek Ireneusz" uniqKey="Lipi Ski M" first="Marek Ireneusz" last="Lipi Ski">Marek Ireneusz Lipi Ski</name><affiliation wicri:level="1"><nlm:aff id="AF0001">2<sup>nd</sup> Clinic of Urology, Medical University of Łódź, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea> Clinic of Urology, Medical University of Łódź</wicri:regionArea><wicri:noRegion>Medical University of Łódź</wicri:noRegion></affiliation></author><author><name sortKey="Lipinski, Piotr" sort="Lipinski, Piotr" uniqKey="Lipinski P" first="Piotr" last="Lipinski">Piotr Lipinski</name><affiliation wicri:level="1"><nlm:aff id="AF0001">2<sup>nd</sup> Clinic of Urology, Medical University of Łódź, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea> Clinic of Urology, Medical University of Łódź</wicri:regionArea><wicri:noRegion>Medical University of Łódź</wicri:noRegion></affiliation></author><author><name sortKey="R A Ski, Waldemar" sort="R A Ski, Waldemar" uniqKey="R A Ski W" first="Waldemar" last="R A Ski">Waldemar R A Ski</name><affiliation wicri:level="1"><nlm:aff id="AF0001">2<sup>nd</sup> Clinic of Urology, Medical University of Łódź, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea> Clinic of Urology, Medical University of Łódź</wicri:regionArea><wicri:noRegion>Medical University of Łódź</wicri:noRegion></affiliation></author></analytic><series><title level="j">Central European Journal of Urology</title><idno type="ISSN">2080-4806</idno><idno type="eISSN">2080-4873</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Introduction</title><p>The aim of this study is to compare the changes in the incision line of prostatic adenoma using a monopolar cutting electrode and holmium laser, as well as the assessment of associated tissue mass and volume loss of benign prostatic hyperplasia (BPH).</p></sec><sec id="st2"><title>Material and methods</title><p>The material used in this study consisted of 74 preparations of prostatic adenoma obtained via open retropubic adenomectomy, with an average volume of 120.7 ml. The material obtained cut in vitro before fixation in formaldehyde. One lobe was cut using holmium laser, the other using a monopolar cutting electrode. After the incision was made, tissue mass and volume loss were evaluated. Thermocoagulation changes in the incision line were examinedunder light microscope.</p></sec><sec id="st3"><title>Results</title><p>In the case of the holmium laser incision, the average tissue mass loss was 1.73 g, tissue volume loss 3.57 ml and the depth of thermocoagulation was 1.17 mm. When the monopolar cutting electrode was used average tissue mass loss was 0.807 g, tissue volume loss 2.48 ml and the depth of thermocoagulation was 0.19 mm.</p></sec><sec id="st4"><title>Conclusions</title><p>Where holmium laser was used, it was observed that the layer of tissue with thermocoagulation changes was deeper than in the case of the monopolar cutting electrode. Moreover, it was noticed that holmium laser caused bigger tissue mass and volume loss than the cutting electrode.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Lepor, H" uniqKey="Lepor H">H Lepor</name></author><author><name sortKey="Rigaud, G" uniqKey="Rigaud G">G Rigaud</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rassweiler, J" uniqKey="Rassweiler J">J Rassweiler</name></author><author><name sortKey="Teber, D" uniqKey="Teber D">D Teber</name></author><author><name sortKey="Kuntz, R" uniqKey="Kuntz R">R Kuntz</name></author><author><name sortKey="Hofmann, R" uniqKey="Hofmann R">R Hofmann</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tubaro, A" uniqKey="Tubaro A">A Tubaro</name></author><author><name sortKey="De Nunizio, C" uniqKey="De Nunizio C">C de Nunizio</name></author></analytic></biblStruct><biblStruct><analytic><author><name 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K">K Yoshimura</name></author><author><name sortKey="Terai, A" uniqKey="Terai A">A Terai</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Elzayat, Ea" uniqKey="Elzayat E">EA Elzayat</name></author><author><name sortKey="Habib, Ei" uniqKey="Habib E">EI Habib</name></author><author><name sortKey="Elhilali, Mm" uniqKey="Elhilali M">MM Elhilali</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gilling, Pj" uniqKey="Gilling P">PJ Gilling</name></author><author><name sortKey="Kennett, K" uniqKey="Kennett K">K Kennett</name></author><author><name sortKey="Das, Ak" uniqKey="Das A">AK Das</name></author><author><name sortKey="Thompson, D" uniqKey="Thompson D">D Thompson</name></author><author><name sortKey="Fraundorfer, Mr" uniqKey="Fraundorfer M">MR Fraundorfer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jak Bczyk, B" uniqKey="Jak Bczyk B">B Jakóbczyk</name></author><author><name sortKey="Wrona, M" uniqKey="Wrona M">M Wrona</name></author><author><name sortKey="Lipinski, M" uniqKey="Lipinski M">M Lipinski</name></author><author><name sortKey="R Za Ski, W" uniqKey="R Za Ski W">W Rózański</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Pologne</li></country></list><tree><country name="Pologne"><noRegion><name sortKey="Szewczyk, Mariusz" sort="Szewczyk, Mariusz" uniqKey="Szewczyk M" first="Mariusz" last="Szewczyk">Mariusz Szewczyk</name></noRegion><name sortKey="Jesionek Upnicka, Dorota" sort="Jesionek Upnicka, Dorota" uniqKey="Jesionek Upnicka D" first="Dorota" last="Jesionek Upnicka">Dorota Jesionek Upnicka</name><name sortKey="Lipi Ski, Marek Ireneusz" sort="Lipi Ski, Marek Ireneusz" uniqKey="Lipi Ski M" first="Marek Ireneusz" last="Lipi Ski">Marek Ireneusz Lipi Ski</name><name sortKey="Lipinski, Piotr" sort="Lipinski, Piotr" uniqKey="Lipinski P" first="Piotr" last="Lipinski">Piotr Lipinski</name><name 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