Prospective Assessment of the Sexual Function After Greenlight Endoscopic Enucleation and Greenlight 180W XPS Photoselective Vaporization of the Prostate

Huët, Romain; Peyronnet, B.; Khene, Z.; Freton, L.; Verhoest, G.; Manunta, A.; Bensalah, Karim; Vincendeau, S.; Mathiéu, Romain

doi:10.1016/j.urology.2019.06.020

Cited by 13 publications

(9 citation statements)

References 29 publications

(43 reference statements)

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“…However, postoperative IPSS, Q max , and PSA decline were advantageous in the GL-EEP group and accompanied by a more favorable course of the IIEF-5 score. Furthermore, 10.1% of GL-PV patients needed retreatment, but none in the GL-EEP group ( P = 0.002) [ 22 ▪ ]. In addition to high rates of ejaculation dysfunction in both groups, the postoperative erectile function was associated with improvements in urinary tract function.…”

Section: Preservation Of Sexual Functionmentioning

confidence: 99%

Electrosurgery or laser for benign prostatic enlargement: trumpcard or pitfalls

Pallauf

Herrmann

Oswald

et al. 2021

Current Opinion in Urology

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Purpose of review To summarize and comment on publications of the last 2 years in the field of endoscopic surgery for benign prostatic enlargement, focusing on similarities and differences of laser and electrosurgery. Recent findings Because of good hemostasis and safety, invasive endoscopic surgery has evolved to a choice of treatment for vulnerable patients with ongoing antithrombotic medication and in same-day surgery. Recent publications show a good perioperative course and no deterioration in the postoperative outcome. Furthermore, alterations to the original surgical techniques of resection, enucleation, and vaporization have increased the preservation rate for antegrade ejaculation, advancing them to an appealing choice of treatment for sexually active men. Favorable outcomes can be achieved in both laser and electrosurgery. Only the choice of the surgical technique determines the outcome. Summary Various invasive endoscopic surgical techniques are available, offering different advantages and disadvantages for the patient. All of them can be performed with laser and electrosurgery. Therefore, focusing on the proper choice of surgical technique instead of the energy source will guarantee the patient to benefit most.

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Section: Preservation Of Sexual Functionmentioning

confidence: 99%

Electrosurgery or laser for benign prostatic enlargement: trumpcard or pitfalls

Pallauf

Herrmann

Oswald

et al. 2021

Current Opinion in Urology

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“…Greenlight laser enucleation of prostate was first described by Gomez Sancha in 2010, demonstrating its advantages in handling large prostate bigger than 80 g (Sancha, 2010). Regarding the sexual function outcome, Huet et al published a prospective cohort in 2019 comparing the sexual function of 180 W XPS PVP and 180 W XPS GreenLEP (Huet et al., 2019). The mean age was 68, average prostate size was around 110 ml in both groups.…”

Section: Erectile Functionmentioning

confidence: 99%

“…Very few data on ejaculation outcomes were reported for the newer EEP technique. Only 1.2% antegrade ejaculation was preserved after GreenLEP in a prospective cohort (Huet et al., 2019). Reported post‐operative incidence of antegrade ejaculation ranged from 12% to 52.7% after ThuLEP, in which 7.9%–12.1% reported painful ejaculation (Carmignani et al., 2015; Saredi et al., 2016; Wang et al., 2014).…”

Section: Ejaculatory Functionmentioning

confidence: 99%

Sexual outcomes of endoscopic enucleation of prostate

Cheng

2020

Andrologia

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The emergence of various endoscopic enucleation techniques in the past decade has provided surgeons with more options and opportunities in performing enucleation. With the same surgical principle as holmium laser enucleation of prostate, the early results of different techniques were comparable. However, sexual outcomes of endoscopic enucleation of the prostate (EEP) were less commonly reported than

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“…Huet et al. (2019) reported a significant improvement in IIEF‐5 post‐operatively in the GreenLEP group despite a low rate of antegrade ejaculation preservation.…”

Section: Complicationsmentioning

confidence: 99%

En bloc GreenLight laser enucleation of the prostate (GreenLEP): An in‐depth look at the anatomical endoscopic enucleation of the prostate using a 532‐nm lithium triborate laser

Rijo

Misraï

2020

Andrologia

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GreenLight laser enucleation of the prostate (GreenLEP) is an alternative endoscopic enucleation of the prostate (EEP) technique for the treatment of lower urinary tract symptoms (LUTS) secondary to benign prostatic obstruction (BPO). GreenLEP is an 'en bloc' EEP technique to remove the transitional zone tissue in one piece, like any other en bloc EEP. The procedure is a combination of laser enucleation and blunt gentle mechanical dissection using the tip of the resectoscope, whereas in HoLEP the dissection is only done with the laser without mechanical dissection. This is a 'low power' enucleation procedure because the energy delivered by the fibre is mainly used to coagulate the surgical prostatic capsule and to cut some tissue. The advantage of mechanical dissection is that it allows for better visualisation of the capsule and in some cases makes the dissection a little faster (Table 1).

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Prospective Assessment of the Sexual Function After Greenlight Endoscopic Enucleation and Greenlight 180W XPS Photoselective Vaporization of the Prostate

Cited by 13 publications

References 29 publications

Electrosurgery or laser for benign prostatic enlargement: trumpcard or pitfalls

Electrosurgery or laser for benign prostatic enlargement: trumpcard or pitfalls

Sexual outcomes of endoscopic enucleation of prostate

En bloc GreenLight laser enucleation of the prostate (GreenLEP): An in‐depth look at the anatomical endoscopic enucleation of the prostate using a 532‐nm lithium triborate laser

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