Efficacy and safety profile of a novel technique, ThuLEP (Thulium laser enucleation of the prostate) for the treatment of benign prostate hypertrophy. Our experience on 148 patients
Identifieur interne : 000627 ( Ncbi/Curation ); précédent : 000626; suivant : 000628Efficacy and safety profile of a novel technique, ThuLEP (Thulium laser enucleation of the prostate) for the treatment of benign prostate hypertrophy. Our experience on 148 patients
Auteurs : Fabrizio Iacono [Italie] ; Domenico Prezioso [Italie] ; Giovanni Di Lauro [Italie] ; Giuseppe Romeo [Italie] ; Antonio Ruffo [Italie] ; Ester Illiano [Italie] ; Bruno Amato [Italie]Source :
- BMC Surgery [ 1471-2482 ] ; 2012.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Complications postopératoires (épidémiologie), Humains, Hyperplasie de la prostate (), Lasers à solide (effets indésirables), Lasers à solide (usage thérapeutique), Mâle, Prostatectomie (), Prostatectomie (effets indésirables), Résultat thérapeutique, Sujet âgé, Sujet âgé de 80 ans ou plus, Thulium, Études de suivi.
- MESH :
- effets indésirables : Lasers à solide, Prostatectomie.
- usage thérapeutique : Lasers à solide.
- épidémiologie : Complications postopératoires.
- Adulte d'âge moyen, Humains, Hyperplasie de la prostate, Mâle, Prostatectomie, Résultat thérapeutique, Sujet âgé, Sujet âgé de 80 ans ou plus, Thulium, Études de suivi.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Follow-Up Studies, Humans, Lasers, Solid-State (adverse effects), Lasers, Solid-State (therapeutic use), Male, Middle Aged, Postoperative Complications (epidemiology), Prostatectomy (adverse effects), Prostatectomy (methods), Prostatic Hyperplasia (surgery), Thulium, Treatment Outcome.
- MESH :
- chemical : Thulium.
- adverse effects : Lasers, Solid-State, Prostatectomy.
- epidemiology : Postoperative Complications.
- methods : Prostatectomy.
- surgery : Prostatic Hyperplasia.
- therapeutic use : Lasers, Solid-State.
- Aged, Aged, 80 and over, Follow-Up Studies, Humans, Male, Middle Aged, Treatment Outcome.
Abstract
Over the past years laser technology has played a predominant role in prostate surgery, for the treatment of benign prostate hypertrophy (BPH). Various laser devices have been introduced in clinical practice, showing good results in terms of complications and urodynamic outcomes efficacy compared with TURP and Open Prostatectomy.
In this study we describe the efficacy and the safety profile of a novel laser technique, ThuLEP (Thulium Laser Enucleation of Prostate) that permits a complete anatomical endoscopic enucleation of prostatic adenoma independently to prostate size.
148 patients with a mean age of 68.2 years were enrolled between September 2009 and March 2012 (36 months), and treated for BPH with ThuLEP. Every patient was evaluated at base line according to: Digital Rectal Examination (DRE), prostate volume, Post-Voided volume (PVR), International Prostate Symptoms Score (I-PSS), International Index of Erectile Function-5 (IIEF-5), Quality of Life (QoL), PSA values, urine analysis and urine culture, uroflowmetry. The same evaluation was conducted after a 12 month follow-up. ThuLEP was performed by 2 expert surgeons.
Our data showed a better post-operative outcome in terms of catheter removal, blood loss, TURP syndrome, clot retention and residual tissue compared to large series of TURP and OP. Only 1.3% of patients had bladder wall injury during morcellation. I-PSS, Qmax, Prostate Volume, QoL and PVR showed a highly significant improvement at 12 month follow-up in comparison to preoperative assessment.
ThuLEP represent an innovative option in patients with BPH. It is a size independent surgical endoscopic technique and it can be considered the real alternative, at this time, to TURP and even more to Open Prostatectomy for large prostate, with a complete removal of adenoma and with a low complication rate.
Url:
DOI: 10.1186/1471-2482-12-S1-S21
PubMed: 23173611
PubMed Central: 3499280
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PMC:3499280Le document en format XML
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<author><name sortKey="Romeo, Giuseppe" sort="Romeo, Giuseppe" uniqKey="Romeo G" first="Giuseppe" last="Romeo">Giuseppe Romeo</name>
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<author><name sortKey="Ruffo, Antonio" sort="Ruffo, Antonio" uniqKey="Ruffo A" first="Antonio" last="Ruffo">Antonio Ruffo</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term>
<term>Aged, 80 and over</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Lasers, Solid-State (adverse effects)</term>
<term>Lasers, Solid-State (therapeutic use)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Postoperative Complications (epidemiology)</term>
<term>Prostatectomy (adverse effects)</term>
<term>Prostatectomy (methods)</term>
<term>Prostatic Hyperplasia (surgery)</term>
<term>Thulium</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Complications postopératoires (épidémiologie)</term>
<term>Humains</term>
<term>Hyperplasie de la prostate ()</term>
<term>Lasers à solide (effets indésirables)</term>
<term>Lasers à solide (usage thérapeutique)</term>
<term>Mâle</term>
<term>Prostatectomie ()</term>
<term>Prostatectomie (effets indésirables)</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Thulium</term>
<term>Études de suivi</term>
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<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Thulium</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lasers, Solid-State</term>
<term>Prostatectomy</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Lasers à solide</term>
<term>Prostatectomie</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Postoperative Complications</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Prostatectomy</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Prostatic Hyperplasia</term>
</keywords>
<keywords scheme="MESH" qualifier="therapeutic use" xml:lang="en"><term>Lasers, Solid-State</term>
</keywords>
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</keywords>
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<term>Aged, 80 and over</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Treatment Outcome</term>
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<term>Hyperplasie de la prostate</term>
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<term>Prostatectomie</term>
<term>Résultat thérapeutique</term>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Over the past years laser technology has played a predominant role in prostate surgery, for the treatment of benign prostate hypertrophy (BPH). Various laser devices have been introduced in clinical practice, showing good results in terms of complications and urodynamic outcomes efficacy compared with TURP and Open Prostatectomy.</p>
<p>In this study we describe the efficacy and the safety profile of a novel laser technique, ThuLEP (Thulium Laser Enucleation of Prostate) that permits a complete anatomical endoscopic enucleation of prostatic adenoma independently to prostate size.</p>
</sec>
<sec><title>Methods</title>
<p>148 patients with a mean age of 68.2 years were enrolled between September 2009 and March 2012 (36 months), and treated for BPH with ThuLEP. Every patient was evaluated at base line according to: Digital Rectal Examination (DRE), prostate volume, Post-Voided volume (PVR), International Prostate Symptoms Score (I-PSS), International Index of Erectile Function-5 (IIEF-5), Quality of Life (QoL), PSA values, urine analysis and urine culture, uroflowmetry. The same evaluation was conducted after a 12 month follow-up. ThuLEP was performed by 2 expert surgeons.</p>
</sec>
<sec><title>Results</title>
<p>Our data showed a better post-operative outcome in terms of catheter removal, blood loss, TURP syndrome, clot retention and residual tissue compared to large series of TURP and OP. Only 1.3% of patients had bladder wall injury during morcellation. I-PSS, Qmax, Prostate Volume, QoL and PVR showed a highly significant improvement at 12 month follow-up in comparison to preoperative assessment.</p>
</sec>
<sec><title>Conclusion</title>
<p>ThuLEP represent an innovative option in patients with BPH. It is a size independent surgical endoscopic technique and it can be considered the real alternative, at this time, to TURP and even more to Open Prostatectomy for large prostate, with a complete removal of adenoma and with a low complication rate.</p>
</sec>
</div>
</front>
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