Complications and early postoperative outcome in 1080 patients after thulium vapoenucleation of the prostate: results at a single institution.
Identifieur interne : 000634 ( Ncbi/Merge ); précédent : 000633; suivant : 000635Complications and early postoperative outcome in 1080 patients after thulium vapoenucleation of the prostate: results at a single institution.
Auteurs : Andreas J. Gross [Allemagne] ; Christopher Netsch ; Sophie Knipper ; Jasmin Hölzel ; Thorsten BachSource :
- European urology [ 1873-7560 ] ; 2013.
Descripteurs français
- KwdFr :
- Allemagne, Cathétérisme urinaire, Complications postopératoires (), Complications postopératoires (étiologie), Compétence clinique, Conception d'appareillage, Courbe d'apprentissage, Durée du séjour, Facteurs temps, Humains, Hyperplasie de la prostate (), Hyperplasie de la prostate (anatomopathologie), Hyperplasie de la prostate (physiopathologie), Lasers à solide, Loi du khi-deux, Miction, Mâle, Prostate (), Prostate (anatomopathologie), Prostatectomie (), Prostatectomie (effets indésirables), Prostatectomie (instrumentation), Réintervention, Résultat thérapeutique, Sujet âgé, Thulium, Thérapie laser (effets indésirables), Thérapie laser (instrumentation), Urodynamique, Études prospectives.
- MESH :
- anatomopathologie : Hyperplasie de la prostate, Prostate.
- effets indésirables : Prostatectomie, Thérapie laser.
- physiopathologie : Hyperplasie de la prostate.
- étiologie : Complications postopératoires, Prostatectomie, Thérapie laser.
- Allemagne, Cathétérisme urinaire, Complications postopératoires, Compétence clinique, Conception d'appareillage, Courbe d'apprentissage, Durée du séjour, Facteurs temps, Humains, Hyperplasie de la prostate, Lasers à solide, Loi du khi-deux, Miction, Mâle, Prostate, Prostatectomie, Réintervention, Résultat thérapeutique, Sujet âgé, Thulium, Urodynamique, Études prospectives.
- Wicri :
- geographic : Allemagne.
English descriptors
- KwdEn :
- Aged, Chi-Square Distribution, Clinical Competence, Equipment Design, Germany, Humans, Laser Therapy (adverse effects), Laser Therapy (instrumentation), Lasers, Solid-State, Learning Curve, Length of Stay, Male, Postoperative Complications (etiology), Postoperative Complications (surgery), Prospective Studies, Prostate (pathology), Prostate (surgery), Prostatectomy (adverse effects), Prostatectomy (instrumentation), Prostatectomy (methods), Prostatic Hyperplasia (pathology), Prostatic Hyperplasia (physiopathology), Prostatic Hyperplasia (surgery), Reoperation, Thulium, Time Factors, Treatment Outcome, Urinary Catheterization, Urination, Urodynamics.
- MESH :
- chemical : Thulium.
- geographic : Germany.
- adverse effects : Laser Therapy, Prostatectomy.
- etiology : Postoperative Complications.
- instrumentation : Laser Therapy, Prostatectomy.
- methods : Prostatectomy.
- pathology : Prostate, Prostatic Hyperplasia.
- physiopathology : Prostatic Hyperplasia.
- surgery : Postoperative Complications, Prostate, Prostatic Hyperplasia.
- Aged, Chi-Square Distribution, Clinical Competence, Equipment Design, Humans, Lasers, Solid-State, Learning Curve, Length of Stay, Male, Prospective Studies, Reoperation, Time Factors, Treatment Outcome, Urinary Catheterization, Urination, Urodynamics.
Abstract
Thulium vapoenucleation of the prostate (ThuVEP) has been introduced as a minimally invasive treatment for benign prostatic obstruction (BPO).
DOI: 10.1016/j.eururo.2012.11.048
PubMed: 23245687
Links toward previous steps (curation, corpus...)
- to stream PubMed, to step Corpus: 000321
- to stream PubMed, to step Curation: 000321
- to stream PubMed, to step Checkpoint: 000321
Links to Exploration step
pubmed:23245687Le document en format XML
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<term>Hyperplasie de la prostate</term>
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<term>Miction</term>
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<front><div type="abstract" xml:lang="en">Thulium vapoenucleation of the prostate (ThuVEP) has been introduced as a minimally invasive treatment for benign prostatic obstruction (BPO).</div>
</front>
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<pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">23245687</PMID>
<DateCreated><Year>2013</Year>
<Month>04</Month>
<Day>01</Day>
</DateCreated>
<DateCompleted><Year>2013</Year>
<Month>09</Month>
<Day>24</Day>
</DateCompleted>
<DateRevised><Year>2013</Year>
<Month>11</Month>
<Day>21</Day>
</DateRevised>
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<JournalIssue CitedMedium="Internet"><Volume>63</Volume>
<Issue>5</Issue>
<PubDate><Year>2013</Year>
<Month>May</Month>
</PubDate>
</JournalIssue>
<Title>European urology</Title>
<ISOAbbreviation>Eur. Urol.</ISOAbbreviation>
</Journal>
<ArticleTitle>Complications and early postoperative outcome in 1080 patients after thulium vapoenucleation of the prostate: results at a single institution.</ArticleTitle>
<Pagination><MedlinePgn>859-67</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.eururo.2012.11.048</ELocationID>
<ELocationID EIdType="pii" ValidYN="Y">S0302-2838(12)01423-6</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Thulium vapoenucleation of the prostate (ThuVEP) has been introduced as a minimally invasive treatment for benign prostatic obstruction (BPO).</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To analyze immediate outcomes and the institutional learning curve of ThuVEP, and to report its standardized complication rates, using the modified Clavien classification system (CCS) to grade perioperative complication rates.</AbstractText>
<AbstractText Label="DESIGN, SETTINGS, AND PARTICIPANTS" NlmCategory="METHODS">A prospective evaluation of 1080 patients undergoing ThuVEP from January 2007 until May 2012 at our institution.</AbstractText>
<AbstractText Label="INTERVENTION" NlmCategory="METHODS">ThuVEP was performed using the 2-μm, continuous-wave, thulium:yttrium-aluminum-garnet laser.</AbstractText>
<AbstractText Label="OUTCOME MEASUREMENTS AND STATISTICAL ANALYSIS" NlmCategory="METHODS">Preoperative status, surgical details, and immediate outcome were recorded for each patient. Perioperative complications were classified according to the modified CCS.</AbstractText>
<AbstractText Label="RESULTS AND LIMITATIONS" NlmCategory="CONCLUSIONS">Median prostate size was 51 ml (interquartile range [IQR]: 36-78.7). Median operation time was 56 min (IQR: 40-80), and median enucleation time was 32.5 min (IQR: 22-50). Median catheterization time was 2 d (IQR: 2-2); median length of hospital stay was 4 d (IQR: 3-5). Median resected tissue weight was 30 g (IQR: 16.00-51.25). Incidental carcinoma of the prostate was detected in 59 (5.5%) patients. Median maximum urinary flow rate (8.9 vs 18.4 ml/s) and postvoid residual urine volume (120 vs 20 ml) changed significantly (p<0.001). Minor complications occurred in 24.6% of the patients (Clavien 1: 20.8%; Clavien 2: 3.8%). Early reinterventions were necessary in 6.6% of the patients (Clavien 3a: 0.6%; Clavien 3b: 6%). One Clavien 4 complication occurred (0.09%). The overall complication rates decreased significantly over time due to decreasing Clavien 1, 2, and 3b events. The major limitations of the study are the prospective, unicentric study design, the lack of a control group, and that only short-term data were documented on morbidity and efficacy of the ThuVEP procedure.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">ThuVEP is a safe and effective procedure for the treatment of symptomatic BPO, with low perioperative morbidity.</AbstractText>
<CopyrightInformation>Copyright © 2012 European Association of Urology. Published by Elsevier B.V. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Gross</LastName>
<ForeName>Andreas J</ForeName>
<Initials>AJ</Initials>
<AffiliationInfo><Affiliation>Department of Urology, Asklepios Hospital Barmbek, Hamburg, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Netsch</LastName>
<ForeName>Christopher</ForeName>
<Initials>C</Initials>
</Author>
<Author ValidYN="Y"><LastName>Knipper</LastName>
<ForeName>Sophie</ForeName>
<Initials>S</Initials>
</Author>
<Author ValidYN="Y"><LastName>Hölzel</LastName>
<ForeName>Jasmin</ForeName>
<Initials>J</Initials>
</Author>
<Author ValidYN="Y"><LastName>Bach</LastName>
<ForeName>Thorsten</ForeName>
<Initials>T</Initials>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
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<ArticleDate DateType="Electronic"><Year>2012</Year>
<Month>12</Month>
<Day>01</Day>
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<ChemicalList><Chemical><RegistryNumber>8RKC5ATI4P</RegistryNumber>
<NameOfSubstance UI="D013932">Thulium</NameOfSubstance>
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<CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Eur Urol. 2013 May;63(5):868-9; discussion 870-1</RefSource>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D011468">Prostatectomy</DescriptorName>
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<QualifierName MajorTopicYN="Y" UI="Q000295">instrumentation</QualifierName>
<QualifierName MajorTopicYN="N" UI="Q000379">methods</QualifierName>
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<QualifierName MajorTopicYN="N" UI="Q000503">physiopathology</QualifierName>
<QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName>
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