Holmium Laser Enucleation Versus Photoselective Vaporization for Prostatic Adenoma Greater than 60 Ml: Preliminary Results of a Prospective, Randomized Clinical Trial

Elmansy, Hazem; Baazeem, Abdulaziz; Kotb, Ahmed; Badawy, Hesham; Riad, Essam; Emran, Ashraf; Elhilali, Mostafa

doi:10.1016/j.juro.2012.02.2576

Cited by 92 publications

(54 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Evaluation of different endo-enucleation techniques for prostatic adenomas has indicated that TUERP yields durable subjective and objective improvements [9,[10][11][12][13]. In the current study, our 7 year long-term follow-up data showed that TUERP has a low morbidity rate and is an alternative to TURP in the treatment of patients with symptomatic BPH.…”

Section: Discussionsupporting

confidence: 50%

Long-term Follow-up of Transurethral Enucleation Resection of the Prostate for Symptomatic Benign Prostatic Hyperplasia

Peng¹,

Zhihai²,

Jiao³

et al. 2016

View full text Add to dashboard Cite

Abstract:Transurethral enucleation resection of the prostate is safe and feasible for the treatment of symptomatic benign prostatic hyperplasia (BPH). However, long-term results of this treatment in patients with BPH have not been reported. To assess the efficacy and safety of this procedure, this study retrospectively evaluated long-term outcomes in 1400 consecutive patients who underwent transurethral enucleation resection of the prostate for BPH between 2008 and 2014. Patients were followed up at 1, 3, 6, and 12 months, and every year thereafter. At a median follow-up of 70.1 months, mean Qmax increased from 6.43 to 22.1 ml/s and mean IPSS decreased from 22.3 to 2.9. PVR decreased from 123.0 to 12.0 cc, and mean TRUS volume decreased from 65.4 to 21.4 ml (P<0.0000). QOL score improved from 4.96 to 1.0, and PSA concentrations decreased from 6.87 to 0.75 ng/ml (P<0.0000). Complications included bladder neck contracture in 1.0% of patients and urethral stricture in 1.3%. These long-term results showed that transurethral enucleation resection of the prostate is durable, safe, and effective for patients with BPH, with patients not requiring reoperation.

show abstract

Section: Discussionsupporting

confidence: 50%

Long-term Follow-up of Transurethral Enucleation Resection of the Prostate for Symptomatic Benign Prostatic Hyperplasia

Peng¹,

Zhihai²,

Jiao³

et al. 2016

View full text Add to dashboard Cite

show abstract

“…21 In a previous PVP study using the earlier HPS system, there were no conversions in the HoLEP group vs 21.6% conversion in PVP group. 22 Other authors reported the need for auxiliary TURP for hemostasis and residual tissue removal during PVP-XPS in 3.8% to 27.4% of cases. 23,24 Moreover, Bachmann et al showed significant association of the use of auxiliary TURP with larger prostate size in patients treated with XPS where monopolar TURP was used in 6.5% of patients with prostates 40 to 80 ml vs 16% with prostates larger than 80 ml.…”

Section: Discussionmentioning

confidence: 97%

GreenLight™ Laser (XPS) Photoselective Vapo-Enucleation versus Holmium Laser Enucleation of the Prostate for the Treatment of Symptomatic Benign Prostatic Hyperplasia: A Randomized Controlled Study

et al. 2015

View full text Add to dashboard Cite

show abstract

“…However, this procedure certainly falls behind others in terms of resection efficiency for large glands and lack of tissue and fear of re-growth of gland, thus resulting in redo procedures [13]. HoLEP has demonstrated significantly higher, resected prostate weight and less hemoglobin loss [14]; although it is still not the first choice because of its steep learning curve and high costs (additional set-up cost and recurrent cost for laser fibers) [15,16,17,18], the latter being a cause of concern in the elderly due to lack of financial income specially in developing countries. The incidence of TURS in patients undergoing TURP is about 0.5-10.5%.…”

Section: Discussionmentioning

confidence: 99%

Management of Large Prostate Gland in Men with Impaired Renal Function: Comparison of Safety, Efficacy and Outcomes of Monopolar, Bipolar Transurethral Resection and Open Prostatectomy

Srivastava

Dhayal²,

Rai³

2016

Urol Int

View full text Add to dashboard Cite

Objective: The purpose of the study was to compare the safety, efficacy and outcome of monopolar transurethral resection of prostate (M-TURP), bipolar transurethral resection of prostate (BP-TURP) and open prostatectomy (OP) exclusively involving large prostate glands in men with renal impairment. Methods: Data of patients with gland size >90 g and serum creatinine >1.5 mg/dl, who were managed surgically at our institution from April 2009 to March 2014 were analyzed retrospectively. International Prostate Symptom Score (IPSS), quality of life (QoL) scores, PVR, serum creatinine and Q-max were recorded preoperatively and postoperatively at each follow-up visit. Follow-up was performed at 1, 3, 6 and 12 months. Results: M-TURP, BP-TURP and OP were the 3 types of surgeries performed. Preoperative characters were similar in all the groups. Hemoglobin drop, transfusion rates, irrigation time, catheter time and hospital days were significantly more in the OP group. Changes in sodium levels and incidence of transurethral syndrome were found to be more in the monopolar group. The follow-up data indicate a significant improvement in the IPSS, QoL, PVR and Q-max in all the groups. Conclusion: This category of patients can be managed safely and efficiently by all the 3 procedures, although BP-TURP has an advantage in terms of shorter catheterization, hospitalization and fewer complications like transurethral resection syndrome.

show abstract

Holmium Laser Enucleation Versus Photoselective Vaporization for Prostatic Adenoma Greater than 60 Ml: Preliminary Results of a Prospective, Randomized Clinical Trial

Cited by 92 publications

References 27 publications

Long-term Follow-up of Transurethral Enucleation Resection of the Prostate for Symptomatic Benign Prostatic Hyperplasia

Long-term Follow-up of Transurethral Enucleation Resection of the Prostate for Symptomatic Benign Prostatic Hyperplasia

GreenLight™ Laser (XPS) Photoselective Vapo-Enucleation versus Holmium Laser Enucleation of the Prostate for the Treatment of Symptomatic Benign Prostatic Hyperplasia: A Randomized Controlled Study

Management of Large Prostate Gland in Men with Impaired Renal Function: Comparison of Safety, Efficacy and Outcomes of Monopolar, Bipolar Transurethral Resection and Open Prostatectomy

Contact Info

Product

Resources

About