Two-micron (thulium) laser resection of the prostate-tangerine technique: a new method for BPH treatment.
Identifieur interne : 000540 ( PubMed/Corpus ); précédent : 000539; suivant : 000541Two-micron (thulium) laser resection of the prostate-tangerine technique: a new method for BPH treatment.
Auteurs : Shu-Jie XiaSource :
- Asian journal of andrology [ 1008-682X ] ; 2009.
English descriptors
- KwdEn :
- MESH :
- chemical : Thulium.
- instrumentation : Laser Therapy, Prostatectomy.
- methods : Laser Therapy, Postoperative Care, Prostatectomy.
- surgery : Prostatic Hyperplasia.
- Follow-Up Studies, Humans, Lasers, Male, Videotape Recording.
Abstract
Two-micron (thulium) laser resection of the prostate-tangerine technique (TmLRP-TT) is a transurethral procedure that uses a thulium laser fiber to dissect whole prostatic lobes off the surgical capsule, similar to peeling a tangerine. We recently reported the primary results. Here we introduce this procedure in detail. A 70-W, 2-microm (thulium) laser was used in continuous-wave mode. We joined the incision by making a transverse cut from the level of the verumontanum to the bladder neck, making the resection sufficiently deep to reach the surgical capsule, and resected the prostate into small pieces, just like peeling a tangerine. As we resected the prostate, the pieces were vaporized, sufficiently small to be evacuated through the resectoscope sheath, and the use of the mechanical tissue morcellator was not required. The excellent hemostasis of the thulium laser ensured the safety of TmLRP-TT. No patient required blood transfusion. Saline irrigation was used intraoperatively, and no case of transurethral resection syndrome was observed. The bladder outlet obstruction had clearly resolved after catheter removal in all cases. We designed the tangerine technique and proved it to be the most suitable procedure for the use of thulium laser in the treatment of benign prostatic hyperplasia (BPH). This procedure, which takes less operative time than standard techniques, is safe and combines efficient cutting and rapid organic vaporization, thereby showing the great superiority of the thulium fiber laser in the treatment of BPH. It has been proven to be as safe and efficient as transurethral resection of the prostate (TURP) during the 1-year follow-up.
DOI: 10.1038/aja.2009.17
PubMed: 19398957
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pubmed:19398957Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Two-micron (thulium) laser resection of the prostate-tangerine technique: a new method for BPH treatment.</title><author><name sortKey="Xia, Shu Jie" sort="Xia, Shu Jie" uniqKey="Xia S" first="Shu-Jie" last="Xia">Shu-Jie Xia</name><affiliation><nlm:affiliation>Department of Urology, First People's Hospital Affiliated to Shanghai Jiao Tong University, Shanghai 200080, China. xsjurologist@163.com</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2009">2009</date><idno type="doi">10.1038/aja.2009.17</idno><idno type="RBID">pubmed:19398957</idno><idno type="pmid">19398957</idno><idno type="wicri:Area/PubMed/Corpus">000540</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000540</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Two-micron (thulium) laser resection of the prostate-tangerine technique: a new method for BPH treatment.</title><author><name sortKey="Xia, Shu Jie" sort="Xia, Shu Jie" uniqKey="Xia S" first="Shu-Jie" last="Xia">Shu-Jie Xia</name><affiliation><nlm:affiliation>Department of Urology, First People's Hospital Affiliated to Shanghai Jiao Tong University, Shanghai 200080, China. xsjurologist@163.com</nlm:affiliation></affiliation></author></analytic><series><title level="j">Asian journal of andrology</title><idno type="ISSN">1008-682X</idno><imprint><date when="2009" type="published">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Follow-Up Studies</term><term>Humans</term><term>Laser Therapy (instrumentation)</term><term>Laser Therapy (methods)</term><term>Lasers</term><term>Male</term><term>Postoperative Care (methods)</term><term>Prostatectomy (instrumentation)</term><term>Prostatectomy (methods)</term><term>Prostatic Hyperplasia (surgery)</term><term>Thulium</term><term>Videotape Recording</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Thulium</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Laser Therapy</term><term>Prostatectomy</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Laser Therapy</term><term>Postoperative Care</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>Follow-Up Studies</term><term>Humans</term><term>Lasers</term><term>Male</term><term>Videotape Recording</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Two-micron (thulium) laser resection of the prostate-tangerine technique (TmLRP-TT) is a transurethral procedure that uses a thulium laser fiber to dissect whole prostatic lobes off the surgical capsule, similar to peeling a tangerine. We recently reported the primary results. Here we introduce this procedure in detail. A 70-W, 2-microm (thulium) laser was used in continuous-wave mode. We joined the incision by making a transverse cut from the level of the verumontanum to the bladder neck, making the resection sufficiently deep to reach the surgical capsule, and resected the prostate into small pieces, just like peeling a tangerine. As we resected the prostate, the pieces were vaporized, sufficiently small to be evacuated through the resectoscope sheath, and the use of the mechanical tissue morcellator was not required. The excellent hemostasis of the thulium laser ensured the safety of TmLRP-TT. No patient required blood transfusion. Saline irrigation was used intraoperatively, and no case of transurethral resection syndrome was observed. The bladder outlet obstruction had clearly resolved after catheter removal in all cases. We designed the tangerine technique and proved it to be the most suitable procedure for the use of thulium laser in the treatment of benign prostatic hyperplasia (BPH). This procedure, which takes less operative time than standard techniques, is safe and combines efficient cutting and rapid organic vaporization, thereby showing the great superiority of the thulium fiber laser in the treatment of BPH. It has been proven to be as safe and efficient as transurethral resection of the prostate (TURP) during the 1-year follow-up.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">19398957</PMID><DateCreated><Year>2009</Year><Month>05</Month><Day>07</Day></DateCreated><DateCompleted><Year>2009</Year><Month>08</Month><Day>28</Day></DateCompleted><DateRevised><Year>2014</Year><Month>12</Month><Day>09</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">1008-682X</ISSN><JournalIssue CitedMedium="Print"><Volume>11</Volume><Issue>3</Issue><PubDate><Year>2009</Year><Month>May</Month></PubDate></JournalIssue><Title>Asian journal of andrology</Title><ISOAbbreviation>Asian J. Androl.</ISOAbbreviation></Journal><ArticleTitle>Two-micron (thulium) laser resection of the prostate-tangerine technique: a new method for BPH treatment.</ArticleTitle><Pagination><MedlinePgn>277-81</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1038/aja.2009.17</ELocationID><Abstract><AbstractText>Two-micron (thulium) laser resection of the prostate-tangerine technique (TmLRP-TT) is a transurethral procedure that uses a thulium laser fiber to dissect whole prostatic lobes off the surgical capsule, similar to peeling a tangerine. We recently reported the primary results. Here we introduce this procedure in detail. A 70-W, 2-microm (thulium) laser was used in continuous-wave mode. We joined the incision by making a transverse cut from the level of the verumontanum to the bladder neck, making the resection sufficiently deep to reach the surgical capsule, and resected the prostate into small pieces, just like peeling a tangerine. As we resected the prostate, the pieces were vaporized, sufficiently small to be evacuated through the resectoscope sheath, and the use of the mechanical tissue morcellator was not required. The excellent hemostasis of the thulium laser ensured the safety of TmLRP-TT. No patient required blood transfusion. Saline irrigation was used intraoperatively, and no case of transurethral resection syndrome was observed. The bladder outlet obstruction had clearly resolved after catheter removal in all cases. We designed the tangerine technique and proved it to be the most suitable procedure for the use of thulium laser in the treatment of benign prostatic hyperplasia (BPH). This procedure, which takes less operative time than standard techniques, is safe and combines efficient cutting and rapid organic vaporization, thereby showing the great superiority of the thulium fiber laser in the treatment of BPH. It has been proven to be as safe and efficient as transurethral resection of the prostate (TURP) during the 1-year follow-up.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Xia</LastName><ForeName>Shu-Jie</ForeName><Initials>SJ</Initials><AffiliationInfo><Affiliation>Department of Urology, First People's Hospital Affiliated to Shanghai Jiao Tong University, Shanghai 200080, China. xsjurologist@163.com</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2009</Year><Month>04</Month><Day>27</Day></ArticleDate></Article><MedlineJournalInfo><Country>China</Country><MedlineTA>Asian J Androl</MedlineTA><NlmUniqueID>100942132</NlmUniqueID><ISSNLinking>1008-682X</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>8RKC5ATI4P</RegistryNumber><NameOfSubstance UI="D013932">Thulium</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>J Endourol. 2001 Nov;15(9):889-94</RefSource><PMID Version="1">11769841</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Endourol. 1995 Apr;9(2):151-3</RefSource><PMID Version="1">7633476</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Endourol. 1996 Oct;10(5):459-61</RefSource><PMID Version="1">8905494</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Lasers Surg Med. 2005 Jan;36(1):52-6</RefSource><PMID Version="1">15662624</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Endourol. 2008 May;22(5):1041-5</RefSource><PMID Version="1">18377234</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>World J Urol. 2007 Jun;25(3):257-62</RefSource><PMID Version="1">17530258</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>BJU Int. 2008 Jan;101(1):131-42</RefSource><PMID Version="1">18086107</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Eur Urol. 2008 Feb;53(2):382-89</RefSource><PMID Version="1">17566639</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Endourol. 2005 Jan-Feb;19(1):25-31</RefSource><PMID Version="1">15735378</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005500">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D053685">Laser Therapy</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000295">instrumentation</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000379">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D007834">Lasers</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D011182">Postoperative Care</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000379">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D011468">Prostatectomy</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000295">instrumentation</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000379">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D011470">Prostatic Hyperplasia</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D013932">Thulium</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D014743">Videotape Recording</DescriptorName></MeshHeading></MeshHeadingList><OtherID Source="NLM">PMC3752550</OtherID></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="aheadofprint"><Year>2009</Year><Month>4</Month><Day>27</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2009</Year><Month>4</Month><Day>29</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2009</Year><Month>4</Month><Day>29</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2009</Year><Month>8</Month><Day>29</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pii">aja200917</ArticleId><ArticleId IdType="doi">10.1038/aja.2009.17</ArticleId><ArticleId IdType="pubmed">19398957</ArticleId><ArticleId IdType="pmc">PMC3752550</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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