A Novel Modified Two-Lobe Holmium Prostate Enucleation Technique: Demirtaş–Erciyes Enucleation Prostatectomy

Demirtaş, Abdullah; Tombul, Şevket Tolga; Sönmez, Gökhan; Demirtaş, Türev

doi:10.7759/cureus.22144

Cited by 2 publications

(2 citation statements)

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“…Reversible posterior leukoencephalopathy syndrome can be caused by a variety of etiologies, including PE, renal insufficiency, elevated blood pressure, component transfusions, autoimmune disease, infection, and shock (Tlemsani et al, 2011;Fa'ak et al, 2021;Virojtriratana et al, 2022). PE is one of the common causes of RPLS, and RPLS is more likely to occur in PE patients with severe headaches, consciousness impairment, visual abnormalities, or other neurological symptoms (Demirtaş et al, 2005;Murali et al, 2020). Eclampsia is an acute cerebrovascular complication considered a clinical manifestation of RPLS (Damak et al, 2022;Fishel Bartal and Sibai, 2022).…”

Section: The Etiology and Pathogenesis Of Pe-related Rplsmentioning

confidence: 99%

Advances in imaging findings of preeclampsia-related reversible posterior leukoencephalopathy syndrome

et al. 2023

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Preeclampsia (PE)-related reversible posterior leukoencephalopathy syndrome (RPLS) is a common complication of hypertensive disorders of pregnancy. The syndrome usually occurs after 20 weeks of gestation and can lead to brain injury. Severe headache, seizures, disturbance of consciousness, and other neurological symptoms may occur in severe cases. PE-RPLS has high morbidity and mortality rates and seriously damages maternal and fetal health. In recent years, the continuous advancement of medical imaging technology has provided an important imaging basis for the early diagnosis and prognostic evaluation of RPLS. This article mainly details the research status of the etiology and pathogenesis of PE-RPLS and describes its characteristic imaging findings, especially MRI findings, to provide new insights into its early diagnosis, early treatment, and improvement of prognosis.

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Section: The Etiology and Pathogenesis Of Pe-related Rplsmentioning

confidence: 99%

Advances in imaging findings of preeclampsia-related reversible posterior leukoencephalopathy syndrome

et al. 2023

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“…Studies of HoLEP in patients with recurrent BPH demonstrate that the surgical plane between the adenoma and the surgical capsule remains accessible, thus producing durable long-term functional outcomes with minimal complications [ 9 – 12 ]. Many HoLEP techniques have been described in the literature, including top-down HoLEP [ 13 – 15 ]. The top-down technique is an anteroposterior HoLEP dissection procedure first described by York and colleagues in 2017 [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

Outcomes of Top-Down Holmium Laser Enucleation of Prostate for Recurrent/Residual Benign Prostatic Hyperplasia: One-Year Follow-Up

Zakaria

Hodhod

Abbas

et al. 2022

Advances in Urology

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Introduction and Objective. We aimed to evaluate urinary functional outcomes of top-down holmium laser enucleation of the prostate (HoLEP) in patients who underwent transurethral resection of the prostate (TURP) for the management of benign prostatic hyperplasia (BPH) compared to patients with primary BPH. Materials and Methods. We carried out a retrospective analysis of patients who underwent top-down HoLEP for the management of recurrent BPH at our institution. Patients who had previously undergone TURP were assigned to group I, while those with no history of prostate surgery were allocated to group II. Preoperative clinical characteristics, enucleation time, resected tissue weight, morcellation time, energy used, and intraoperative and postoperative complications were recorded and statistically analyzed. Patients were followed up postoperatively at 1, 3, 6, and 12 months. The evaluation included the International Prostate Symptom Score (IPSS), quality of life assessment (QoL), maximum urinary flow rate (Qmax), postvoid residual urine test (PVR), and continence status. Results. Two hundred and sixty-nine patients were included in this study. Group I consisted of 68 patients with recurrent BPH, while group II included 201 patients. There were no statistically significant differences in preoperative characteristics between both groups. The median enucleation time for group I (67.5 min (25–200)) was not significantly longer than that for group II (60 min (19–165) ( p = 0.25 )). Operative outcomes, including morcellation time, resected weight, catheter duration, and hospital stay, were comparable between both groups. At 1, 3, 6, and 12 months, all urinary functional outcomes showed significant improvement, and there were no significant differences between the two groups. At 3 months’ follow-up, two patients in group I and three patients in group II experienced stress urinary incontinence (SUI). At the last follow-up visit, one patient from group I presented with persistent SUI. Conclusions. For managing recurrent and nonrecurrent cases of BPH, top-down HoLEP is safe with comparable urinary functional outcomes. Patients with a history of previous prostate surgery can be counselled that their prior transurethral procedure does not reduce the benefits of HoLEP.

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A Novel Modified Two-Lobe Holmium Prostate Enucleation Technique: Demirtaş–Erciyes Enucleation Prostatectomy

Cited by 2 publications

References 19 publications

Advances in imaging findings of preeclampsia-related reversible posterior leukoencephalopathy syndrome

Advances in imaging findings of preeclampsia-related reversible posterior leukoencephalopathy syndrome

Outcomes of Top-Down Holmium Laser Enucleation of Prostate for Recurrent/Residual Benign Prostatic Hyperplasia: One-Year Follow-Up

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