Common trend: move to enucleation—Is there a case for GreenLight enucleation? Development and description of the technique
Identifieur interne : 000856 ( Ncbi/Merge ); 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
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<series><title level="j">World Journal of Urology</title>
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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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<author><name sortKey="Gomez Sancha, Fernando" sort="Gomez Sancha, Fernando" uniqKey="Gomez Sancha F" first="Fernando" last="Gomez Sancha">Fernando Gomez Sancha</name>
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<author><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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<author><name sortKey="Georgiev, Georgi" sort="Georgiev, Georgi" uniqKey="Georgiev G" first="Georgi" last="Georgiev">Georgi Georgiev</name>
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<author><name sortKey="Botsevski, Alexander" sort="Botsevski, Alexander" uniqKey="Botsevski A" first="Alexander" last="Botsevski">Alexander Botsevski</name>
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<author><name sortKey="Kotsev, Julian" sort="Kotsev, Julian" uniqKey="Kotsev J" first="Julian" last="Kotsev">Julian Kotsev</name>
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<placeName><settlement type="city">Sofia</settlement>
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<author><name sortKey="Herrmann, Thomas" sort="Herrmann, Thomas" uniqKey="Herrmann T" first="Thomas" last="Herrmann">Thomas Herrmann</name>
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<wicri:regionArea>Medizinsche Hochschule Hannover, Hannover</wicri:regionArea>
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<settlement type="city">Hanovre</settlement>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Common trend: move to enucleation—Is there a case for GreenLight enucleation? Development and description of the technique</title>
<author><name sortKey="Gomez Sancha, Fernando" sort="Gomez Sancha, Fernando" uniqKey="Gomez Sancha F" first="Fernando" last="Gomez Sancha">Fernando Gomez Sancha</name>
<affiliation wicri:level="1"><nlm:aff id="Aff1">ICUA, Clínica CEMTRO, Ventisquero de la Condesa 42, 28035 Madrid, Spain</nlm:aff>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>ICUA, Clínica CEMTRO, Ventisquero de la Condesa 42, 28035 Madrid</wicri:regionArea>
<placeName><settlement type="city">Madrid</settlement>
<region nuts="2" type="region">Communauté de Madrid</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Rivera, Vanesa Cuadros" sort="Rivera, Vanesa Cuadros" uniqKey="Rivera V" first="Vanesa Cuadros" last="Rivera">Vanesa Cuadros Rivera</name>
<affiliation wicri:level="1"><nlm:aff id="Aff1">ICUA, Clínica CEMTRO, Ventisquero de la Condesa 42, 28035 Madrid, Spain</nlm:aff>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>ICUA, Clínica CEMTRO, Ventisquero de la Condesa 42, 28035 Madrid</wicri:regionArea>
<placeName><settlement type="city">Madrid</settlement>
<region nuts="2" type="region">Communauté de Madrid</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Georgiev, Georgi" sort="Georgiev, Georgi" uniqKey="Georgiev G" first="Georgi" last="Georgiev">Georgi Georgiev</name>
<affiliation wicri:level="3"><nlm:aff id="Aff2">Hill Clinic, Alexander Pushkin Blvd. 71, Sofia, 1618 Bulgaria</nlm:aff>
<country xml:lang="fr">Bulgarie</country>
<wicri:regionArea>Hill Clinic, Alexander Pushkin Blvd. 71, Sofia</wicri:regionArea>
<placeName><settlement type="city">Sofia</settlement>
<region nuts="2">Sofia-ville (oblast)</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Botsevski, Alexander" sort="Botsevski, Alexander" uniqKey="Botsevski A" first="Alexander" last="Botsevski">Alexander Botsevski</name>
<affiliation wicri:level="3"><nlm:aff id="Aff2">Hill Clinic, Alexander Pushkin Blvd. 71, Sofia, 1618 Bulgaria</nlm:aff>
<country xml:lang="fr">Bulgarie</country>
<wicri:regionArea>Hill Clinic, Alexander Pushkin Blvd. 71, Sofia</wicri:regionArea>
<placeName><settlement type="city">Sofia</settlement>
<region nuts="2">Sofia-ville (oblast)</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Kotsev, Julian" sort="Kotsev, Julian" uniqKey="Kotsev J" first="Julian" last="Kotsev">Julian Kotsev</name>
<affiliation wicri:level="3"><nlm:aff id="Aff2">Hill Clinic, Alexander Pushkin Blvd. 71, Sofia, 1618 Bulgaria</nlm:aff>
<country xml:lang="fr">Bulgarie</country>
<wicri:regionArea>Hill Clinic, Alexander Pushkin Blvd. 71, Sofia</wicri:regionArea>
<placeName><settlement type="city">Sofia</settlement>
<region nuts="2">Sofia-ville (oblast)</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Herrmann, Thomas" sort="Herrmann, Thomas" uniqKey="Herrmann T" first="Thomas" last="Herrmann">Thomas Herrmann</name>
<affiliation wicri:level="3"><nlm:aff id="Aff3">Medizinsche Hochschule Hannover, Hannover, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Medizinsche Hochschule Hannover, Hannover</wicri:regionArea>
<placeName><region type="land" nuts="2">Basse-Saxe</region>
<settlement type="city">Hanovre</settlement>
</placeName>
</affiliation>
</author>
</analytic>
<series><title level="j">World Journal of Urology</title>
<idno type="ISSN">0724-4983</idno>
<idno type="eISSN">1433-8726</idno>
<imprint><date when="2014">2014</date>
</imprint>
</series>
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</teiHeader>
<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>
</front>
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</back>
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</pmc>
<pubmed><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Common trend: move to enucleation-Is there a case for GreenLight enucleation? Development and description of the technique.</title>
<author><name sortKey="Gomez Sancha, Fernando" sort="Gomez Sancha, Fernando" uniqKey="Gomez Sancha F" first="Fernando" last="Gomez Sancha">Fernando Gomez Sancha</name>
<affiliation wicri:level="1"><nlm:affiliation>ICUA, Clínica CEMTRO, Ventisquero de la Condesa 42, 28035, Madrid, Spain, fgomsan@gmail.com.</nlm:affiliation>
<country wicri:rule="url">Oman</country>
<wicri:regionArea>ICUA, Clínica CEMTRO, Ventisquero de la Condesa 42, 28035, Madrid, Spain</wicri:regionArea>
<wicri:noRegion>Spain</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Rivera, Vanesa Cuadros" sort="Rivera, Vanesa Cuadros" uniqKey="Rivera V" first="Vanesa Cuadros" last="Rivera">Vanesa Cuadros Rivera</name>
</author>
<author><name sortKey="Georgiev, Georgi" sort="Georgiev, Georgi" uniqKey="Georgiev G" first="Georgi" last="Georgiev">Georgi Georgiev</name>
</author>
<author><name sortKey="Botsevski, Alexander" sort="Botsevski, Alexander" uniqKey="Botsevski A" first="Alexander" last="Botsevski">Alexander Botsevski</name>
</author>
<author><name sortKey="Kotsev, Julian" sort="Kotsev, Julian" uniqKey="Kotsev J" first="Julian" last="Kotsev">Julian Kotsev</name>
</author>
<author><name sortKey="Herrmann, Thomas" sort="Herrmann, Thomas" uniqKey="Herrmann T" first="Thomas" last="Herrmann">Thomas Herrmann</name>
</author>
</titleStmt>
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<date when="2015">2015</date>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Common trend: move to enucleation-Is there a case for GreenLight enucleation? Development and description of the technique.</title>
<author><name sortKey="Gomez Sancha, Fernando" sort="Gomez Sancha, Fernando" uniqKey="Gomez Sancha F" first="Fernando" last="Gomez Sancha">Fernando Gomez Sancha</name>
<affiliation wicri:level="1"><nlm:affiliation>ICUA, Clínica CEMTRO, Ventisquero de la Condesa 42, 28035, Madrid, Spain, fgomsan@gmail.com.</nlm:affiliation>
<country wicri:rule="url">Oman</country>
<wicri:regionArea>ICUA, Clínica CEMTRO, Ventisquero de la Condesa 42, 28035, Madrid, Spain</wicri:regionArea>
<wicri:noRegion>Spain</wicri:noRegion>
</affiliation>
</author>
<author><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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<author><name sortKey="Georgiev, Georgi" sort="Georgiev, Georgi" uniqKey="Georgiev G" first="Georgi" last="Georgiev">Georgi Georgiev</name>
</author>
<author><name sortKey="Botsevski, Alexander" sort="Botsevski, Alexander" uniqKey="Botsevski A" first="Alexander" last="Botsevski">Alexander Botsevski</name>
</author>
<author><name sortKey="Kotsev, Julian" sort="Kotsev, Julian" uniqKey="Kotsev J" first="Julian" last="Kotsev">Julian Kotsev</name>
</author>
<author><name sortKey="Herrmann, Thomas" sort="Herrmann, Thomas" uniqKey="Herrmann T" first="Thomas" last="Herrmann">Thomas Herrmann</name>
</author>
</analytic>
<series><title level="j">World journal of urology</title>
<idno type="eISSN">1433-8726</idno>
<imprint><date when="2015" type="published">2015</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Borates</term>
<term>Humans</term>
<term>Laser Therapy (methods)</term>
<term>Lithium Compounds</term>
<term>Male</term>
<term>Prostatectomy (methods)</term>
<term>Prostatic Hyperplasia (surgery)</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Borates</term>
<term>Composés du lithium</term>
<term>Humains</term>
<term>Hyperplasie de la prostate ()</term>
<term>Mâle</term>
<term>Prostatectomie ()</term>
<term>Résultat thérapeutique</term>
<term>Thérapie laser ()</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Borates</term>
<term>Lithium Compounds</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Laser Therapy</term>
<term>Prostatectomy</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Prostatic Hyperplasia</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Humans</term>
<term>Male</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Borates</term>
<term>Composés du lithium</term>
<term>Humains</term>
<term>Hyperplasie de la prostate</term>
<term>Mâle</term>
<term>Prostatectomie</term>
<term>Résultat thérapeutique</term>
<term>Thérapie laser</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">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.</div>
</front>
</TEI>
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