Monopolar Transurethral Enucleation of Prostatic Adenoma: Preliminary Report

Pansadoro, Vito; Emiliozzi, P.; Vecchio, Gianluca del; Moscarelli, Marco; Scarpone, Paolo; Giudice, Francesco Del; Veneziano, Domenico; Brassetti, Aldo; Assenmacher, Christophe

doi:10.1016/j.urology.2016.12.024

Cited by 5 publications

(6 citation statements)

References 31 publications

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“…Mean operating and morcellation times were 126.41 ± 54.25 minutes and 8.55 ± 5.05 minutes, respectively. 12 This is longer than in our trial in spite of smaller preoperative prostate volume (Mean prostate and prostatic adenoma volumes were 64.9 ± 28.5 g and 40.9 ± 21.8 g, respectively). This may be attributed to less experienced surgeon or the use of bad equipment.…”

Section: Discussioncontrasting

confidence: 45%

“…11 Bipolar transurethral enucleation of the prostate (B-TUEP) has been published as a reliable alternative to Holmium laser enucleation of the prostate (HoLEP), consisting in the enucleation of the adenoma by conventional bipolar energy and dedicated loops. 12 In this study we present our technique of monopolar enucleation, which combines the use of standard monopolar energy with the advantages of blunt mechanical enucleation aiming to replace bipolar PlasmaKinetic enucleation technique with comparable safety and efficacy.…”

Section: Discussionmentioning

confidence: 99%

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Monopolar Versus Bipolar Transurethral Enucleation of the Prostate for Large Volume Benign Prostatic Hyperplasia

Mohameden

Mourad

Mahmoud

et al. 2021

Ain Shams Medical Journal

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Background:The choice of treatment modality in patients with Benign Prostatic Hyperplasia (BPH) is one of the most discussed issues in urology. In recent years, the surgical treatment of prostates of large sizes by means of enucleation has become increasingly popular. The emergence of special loops to perform bipolar and monopolar enucleation using standard equipment for TURP has opened up new possibilities for the treatment of patients by transurethral monopolar enucleation. Aim of the Work: To evaluate the efficacy and safety of Monopolar versus Bipolar Transurethral Enucleation of the Prostate for Large volume Benign Prostatic Hyperplasia. Patients and Methods: 40 patients with BPH were randomly divided into two groups: Group 1 underwent Monopolar Transurethral Enucleation of the Prostate (M-TUEP) (n=20), and Group 2 underwent Bipolar Transurethral Enucleation of the Prostate (B-TUEP) (n=20). Operation time, incidence of hyponatremia, estimated blood loss by drop of haemoglobin, improvement ofInternational Prostate Symptom Score (IPSS) and Quality of Life (QoL) score, Uroflowmetry (Qmax and Qave), Post Voiding Residual Urine (PVR) and Prostate volume and other complications ( as reintervention for clots and bleeding control, recatheterization, UTI, incidence of TUR syndrome, incidence of infarction, incontinence , bladder neck contracture and urethral stricture) were compared. Results: Operation was successfully performed in all 40 cases, and no open surgery was converted in any case or blood transfusion was needed.There was no statistically significant difference between both groups in operative time, postoperative haemoglobin and serum sodium levels decline, or improvement in postoperative IPSS, QoL score, Qmax, Qave, Prostate volume and PVR. All patients were followed up to 6 months postoperatively, and no complications occurred except one patient in Group 1 (5% of Group 1 and 2.5 % of the whole study) developed Urethral stricture. Conclusion: M-TUEP was shown to be a safe and highly effective technique for relief of Bladder Outlet Obstruction (BOO).The clinical efficacy of M-TUEP is sustainable for up to 6 months of follow-up. Our single-center results show that M-TUEP has the same efficacy as B-TUEP for the surgical treatment of symptomatic BPH, so M-TUEP can replace B-TUEP with the same efficacy and comparable safety.

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Section: Discussioncontrasting

confidence: 45%

Section: Discussionmentioning

confidence: 99%

Monopolar Versus Bipolar Transurethral Enucleation of the Prostate for Large Volume Benign Prostatic Hyperplasia

Mohameden

Mourad

Mahmoud

et al. 2021

Ain Shams Medical Journal

View full text Add to dashboard Cite

show abstract

“…Bipolar transurethral enucleation of the prostate (B-TUEP) has been published as a reliable alternative to Holmium laser enucleation of the prostate (HoLEP), consisting in the enucleation of the adenoma by conventional bipolar energy and dedicated loops 12 .…”

Section: Resultsmentioning

confidence: 99%

Monopolar Versus Bipolar Transurethral Enucleation of the Prostate for Large Volume Benign Prostatic Hyperplasia

Mourad

Mahmoud

Mousa

et al. 2020

Ain Shams Medical Journal

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“…Pansadoro [ 18 ] described his monopolar enucleation technique (47 cases) in 2017, where he divided the prostate into three lobes, median, left and right, by making a groove with an angled loop and then enucleated them with a straight loop, which were then removed by a morcellator. His mean prostatic volume was 64.9 g, slightly more than our study, but his mean operative time was 126.41 min (resection efficiency: 0.31 gm/min), which was four times greater than in our study (31.7 min).…”

Section: Discussionmentioning

confidence: 99%

Monopolar Transurethral Enucleoresection of Prostate: Feasibility of Modified Nesbit’s Enucleoresection with Apical Release

Kumar,

Somani

2024

JCM

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Background: Transurethral resection of the prostate (TURP) has been the standard surgical treatment for Benign Hyperplasia of the Prostate (BPH) for decades. Our objective was to evaluate the outcome of our new technique: Monopolar Transurethral Enucleoresection of the Prostate (TUERP) with apical release (bring it all to centre). Methods: A prospective study of all cases undergoing TUERP at a tertiary centre from January 2020 to October 2022 was performed. Patient demographics, intraoperative variables and postoperative results along with follow-up data were collected. Data of all the cases who had completed a one-year follow-up post-surgery were included and analysed. Results: A total of 240 patients with complete data including a one-year follow-up were included. Mean prostatic volume was 55.3 ± 11.6 gm, and 28 (11.67%) cases were >100 gm. The mean operative time was 31.7 ± 7.6, and mean haemoglobin drop at 24 h was 0.73 ± 1.21 gm/dL. The overall complication rate was 16.67%, with only two (0.83%) Clavien–Dindo III complications (haematuria and clots needing evacuation) and the other complications being Clavien–Dindo I/II complications. Sustained improvement at 1 year of follow-up was noted: Qmax: 25.2 ± 5.6 mL/s, IPSS: 4.7 ± 2.5 and PVR: 22.5 ± 9.6 mL. Conclusions: Monopolar TUERP with a modified Nesbit’s enucleoresection with apical release can be considered a promising technique, which needs further studies to be validated with appropriate comparisons.

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Monopolar Transurethral Enucleation of Prostatic Adenoma: Preliminary Report

Cited by 5 publications

References 31 publications

Monopolar Versus Bipolar Transurethral Enucleation of the Prostate for Large Volume Benign Prostatic Hyperplasia

Monopolar Versus Bipolar Transurethral Enucleation of the Prostate for Large Volume Benign Prostatic Hyperplasia

Monopolar Versus Bipolar Transurethral Enucleation of the Prostate for Large Volume Benign Prostatic Hyperplasia

Monopolar Transurethral Enucleoresection of Prostate: Feasibility of Modified Nesbit’s Enucleoresection with Apical Release

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