Common trend: move to enucleation—Is there a case for GreenLight enucleation? Development and description of the technique
Identifieur interne : 000856 ( Ncbi/Checkpoint ); précédent : 000855; suivant : 000857Common trend: move to enucleation—Is there a case for GreenLight enucleation? Development and description of the technique
Auteurs : Fernando Gomez Sancha [Espagne] ; Vanesa Cuadros Rivera [Espagne] ; Georgi Georgiev [Bulgarie] ; Alexander Botsevski [Bulgarie] ; Julian Kotsev [Bulgarie] ; Thomas Herrmann [Allemagne]Source :
- World Journal of Urology [ 0724-4983 ] ; 2014.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- chemical : Borates, Lithium Compounds.
- methods : Laser Therapy, Prostatectomy.
- surgery : Prostatic Hyperplasia.
- Humans, Male, Treatment Outcome.
Abstract
Transurethral laser prostatectomy has evolved as a viable alternative for the management of benign prostate enlargement. Since the renaissance of laser prostatectomy with the advent of the holmium:yttrium–aluminum–garnet laser in the 1990s, various lasers and subsequent procedures have been introduced. These techniques can be categorized as vaporizing, resecting, and enucleating approaches. Photoselective vaporization of the prostate (PVP) is dominated by high-power lithium triborate (LBO) crystal lasers (GreenLight XPS). The mainstay of this technique is for the treatment of small to medium prostate volumes whereas enucleating techniques, such as holmium laser enucleation of the prostate and thulium enucleation of the prostate, focus on large-volume glands. In order to perspectively “delimit” LBO into the field of large-volume prostates, we developed LBO en bloc enucleation to render it as a competing transurethral enucleating approach.
We present a detailed stepwise progressive technique developed in Madrid, Spain, for the complete removal of the transitional zone by vapoenucleation. The steps include exposition of the prostatic capsule by PVP toward the peripheral zone, thereby identifying the anatomical limits of enucleation. Subsequently, the transitional zone is excised in a single bloc and morcellated after its placement into the bladder.
This new GreenLight en bloc enucleation technique allows to treat larger prostates than those previously treated with the PVP technique.
Url:
DOI: 10.1007/s00345-014-1339-9
PubMed: 24929643
PubMed Central: 4375296
Affiliations:
- Allemagne, Bulgarie, Espagne
- Basse-Saxe, Communauté de Madrid, Sofia-ville (oblast)
- Hanovre, Madrid, Sofia
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PMC:4375296Le document en format XML
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Transurethral laser prostatectomy has evolved as a viable alternative for the management of benign prostate enlargement. Since the renaissance of laser prostatectomy with the advent of the holmium:yttrium–aluminum–garnet laser in the 1990s, various lasers and subsequent procedures have been introduced. These techniques can be categorized as vaporizing, resecting, and enucleating approaches. Photoselective vaporization of the prostate (PVP) is dominated by high-power lithium triborate (LBO) crystal lasers (GreenLight XPS). The mainstay of this technique is for the treatment of small to medium prostate volumes whereas enucleating techniques, such as holmium laser enucleation of the prostate and thulium enucleation of the prostate, focus on large-volume glands. In order to perspectively “delimit” LBO into the field of large-volume prostates, we developed LBO en bloc enucleation to render it as a competing transurethral enucleating approach.</p>
</sec>
<sec><title>Materials and methods</title>
<p>We present a detailed stepwise progressive technique developed in Madrid, Spain, for the complete removal of the transitional zone by vapoenucleation. The steps include exposition of the prostatic capsule by PVP toward the peripheral zone, thereby identifying the anatomical limits of enucleation. Subsequently, the transitional zone is excised in a single bloc and morcellated after its placement into the bladder.</p>
</sec>
<sec><title>Conclusion</title>
<p> This new GreenLight en bloc enucleation technique allows to treat larger prostates than those previously treated with the PVP technique.</p>
</sec>
</div>
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<name sortKey="Rivera, Vanesa Cuadros" sort="Rivera, Vanesa Cuadros" uniqKey="Rivera V" first="Vanesa Cuadros" last="Rivera">Vanesa Cuadros Rivera</name>
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<country name="Allemagne"><region name="Basse-Saxe"><name sortKey="Herrmann, Thomas" sort="Herrmann, Thomas" uniqKey="Herrmann T" first="Thomas" last="Herrmann">Thomas Herrmann</name>
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