Transurethral anatomical enucleation of the prostate with Tm:YAG support (ThuLEP): review of the literature on a novel surgical approach in the management of benign prostatic enlargement.
Identifieur interne : 000043 ( PubMed/Checkpoint ); précédent : 000042; suivant : 000044Transurethral anatomical enucleation of the prostate with Tm:YAG support (ThuLEP): review of the literature on a novel surgical approach in the management of benign prostatic enlargement.
Auteurs : Iason Kyriazis [Grèce] ; Piotr P. Winiarski ; Stephan Jutzi ; Mathias Wolters ; Christopher Netsch ; Martin Burchardt ; Evangelos Liatsikos ; Shujie Xia ; Thorsten Bach ; Andreas J. Gross ; Thomas R W. HerrmannSource :
- World journal of urology [ 1433-8726 ] ; 2015.
Descripteurs français
- KwdFr :
- MESH :
- usage thérapeutique : Lasers à solide.
- Humains, Hyperplasie de la prostate, Mâle, Prise en charge de la maladie, Prostatectomie, Résection transuréthrale de prostate, Thulium.
English descriptors
- KwdEn :
- MESH :
- chemical : Thulium.
- methods : Prostatectomy, Transurethral Resection of Prostate.
- surgery : Prostatic Hyperplasia.
- therapeutic use : Lasers, Solid-State.
- Disease Management, Humans, Male.
Abstract
Retrograde transurethral anatomical enucleation of the prostate is gaining momentum as a new concept in transurethral surgery of benign prostatic hyperplasia. Its adaptation is boosted by the familiarity of urologists with the finger-assisted anatomical enucleation of the adenoma during open prostatectomy and the combination of this well-established concept with the minimal invasive characteristics of transurethral surgery. The thulium laser appears as an ideal energy source for such operation. In this work, current evidence on thulium laser-assisted anatomical enucleation of the prostate (ThuLEP) is being reviewed.
DOI: 10.1007/s00345-015-1529-0
PubMed: 25774004
Affiliations:
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pubmed:25774004Le document en format XML
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<author><name sortKey="Liatsikos, Evangelos" sort="Liatsikos, Evangelos" uniqKey="Liatsikos E" first="Evangelos" last="Liatsikos">Evangelos Liatsikos</name>
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<author><name sortKey=" Winiarski, Piotr P" sort=" Winiarski, Piotr P" uniqKey=" Winiarski P" first="Piotr P" last=" Winiarski">Piotr P. Winiarski</name>
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<series><title level="j">World journal of urology</title>
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<term>Humans</term>
<term>Lasers, Solid-State (therapeutic use)</term>
<term>Male</term>
<term>Prostatectomy (methods)</term>
<term>Prostatic Hyperplasia (surgery)</term>
<term>Thulium</term>
<term>Transurethral Resection of Prostate (methods)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Humains</term>
<term>Hyperplasie de la prostate ()</term>
<term>Lasers à solide (usage thérapeutique)</term>
<term>Mâle</term>
<term>Prise en charge de la maladie</term>
<term>Prostatectomie ()</term>
<term>Résection transuréthrale de prostate ()</term>
<term>Thulium</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Thulium</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Prostatectomy</term>
<term>Transurethral Resection of Prostate</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>
<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Lasers à solide</term>
</keywords>
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<term>Humans</term>
<term>Male</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Humains</term>
<term>Hyperplasie de la prostate</term>
<term>Mâle</term>
<term>Prise en charge de la maladie</term>
<term>Prostatectomie</term>
<term>Résection transuréthrale de prostate</term>
<term>Thulium</term>
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<front><div type="abstract" xml:lang="en">Retrograde transurethral anatomical enucleation of the prostate is gaining momentum as a new concept in transurethral surgery of benign prostatic hyperplasia. Its adaptation is boosted by the familiarity of urologists with the finger-assisted anatomical enucleation of the adenoma during open prostatectomy and the combination of this well-established concept with the minimal invasive characteristics of transurethral surgery. The thulium laser appears as an ideal energy source for such operation. In this work, current evidence on thulium laser-assisted anatomical enucleation of the prostate (ThuLEP) is being reviewed.</div>
</front>
</TEI>
<pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">25774004</PMID>
<DateCreated><Year>2015</Year>
<Month>03</Month>
<Day>27</Day>
</DateCreated>
<DateCompleted><Year>2015</Year>
<Month>12</Month>
<Day>15</Day>
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<JournalIssue CitedMedium="Internet"><Volume>33</Volume>
<Issue>4</Issue>
<PubDate><Year>2015</Year>
<Month>Apr</Month>
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<Title>World journal of urology</Title>
<ISOAbbreviation>World J Urol</ISOAbbreviation>
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<ArticleTitle>Transurethral anatomical enucleation of the prostate with Tm:YAG support (ThuLEP): review of the literature on a novel surgical approach in the management of benign prostatic enlargement.</ArticleTitle>
<Pagination><MedlinePgn>525-30</MedlinePgn>
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<Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Retrograde transurethral anatomical enucleation of the prostate is gaining momentum as a new concept in transurethral surgery of benign prostatic hyperplasia. Its adaptation is boosted by the familiarity of urologists with the finger-assisted anatomical enucleation of the adenoma during open prostatectomy and the combination of this well-established concept with the minimal invasive characteristics of transurethral surgery. The thulium laser appears as an ideal energy source for such operation. In this work, current evidence on thulium laser-assisted anatomical enucleation of the prostate (ThuLEP) is being reviewed.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">A comprehensive literature review was performed on Medline, PubMed, and Cochrane databases retrieving all literature on thulium laser-assisted prostatectomy between 2006 and 2015. Experimental studies, review articles and editorial comments as well as studies on thulium laser-assisted approaches other than ThuLEP (i.e., ThuVEP, ThuVAP or ThuVARP) were excluded from the analysis.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">In total, six original articles on either surgical technique or clinical outcomes were retrieved. With regard to functional results, ThuLEP presented no significant differences toward the standard treatment (TURP/HoLEP) arm in two randomized controlled trials and favorable outcomes in available prospective cohorts. Observed morbidity was minimum and comparable with the rest of transurethral literature.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">ThuLEP literature is still very limited. Based on the available data, the approach is safe and effective, demonstrating favorable outcomes, comparable with the current standard treatment options. Further documentation of ThuLEP outcomes is necessary to define the optimum indications of this novel technique.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kyriazis</LastName>
<ForeName>Iason</ForeName>
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<AffiliationInfo><Affiliation>Department of Urology, University of Patras, Patras, Greece.</Affiliation>
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