Thulium Laser Enucleation Versus Plasmakinetic Enucleation of the Prostate: A Randomized Trial of a Single Center

Feng, Li; Zhang, Daoxin; Tian, Ye; Song, Jaeho

doi:10.1089/end.2015.0867

Cited by 36 publications

(23 citation statements)

References 21 publications

(48 reference statements)

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“…Kyriazis et al [15] came to the same conclusion reviewing the data of ThuLEP. In the analyzed four studies including two RCTs versus TURP and versus HoLEP with a follow-up of 18 months at the maximum [13].…”

Section: The Latest Update Of the Eau Guidelines On Management Of Nmentioning

confidence: 63%

“…In the analyzed four studies including two RCTs versus TURP and versus HoLEP with a follow-up of 18 months at the maximum [13]. Feng et al [15] could demonstrate in their RCT on ThuLEP versus bipolar enucleation that both treatments were both safe and efficient. When compared to bipolar enucleation, ThuLEP showed lower risk of hemorrhage and shorter catheter time.…”

Section: The Latest Update Of the Eau Guidelines On Management Of Nmentioning

confidence: 99%

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Enucleation is enucleation is enucleation is enucleation

Herrmann

2016

World J Urol

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followed in 2004 [2], then later in the end of the 2000s all other transurethral laser-based enucleation techniques: Tm:YAG Vapoenucleation (ThuVEP) [3], transurethral anatomical enucleation with Tm:YAG Support (ThuLEP) [4], diode laser enucleation of the prostate (DiLEP) [5] and finally Lithium-Borate "Greenlight" enucleation of the prostate (GreenLEP) [6] appeared on the market to finally replace open prostatectomy (OP) and TURP. It took Thulium:YAG as the challenger to initiate a discussion about the impact of laser in transurethral enucleation. The surgical twins "ThuVEP" and "ThuLEP" demonstrated the whole spectrum of laser action in enucleating techniques. ThuVEP focuses on the favorable vaporization effect of continuous-wave lasers to perform a fast, effective and safe enucleation, whereas ThuLEP focuses on almost blunt mechanical enucleation using the laser only for dissection of adherences and mucosa. The latter on anatomy focusing approach was mimicked by other continuous-wave lasers (LBO/"Greenlight" and 980 nm diode laser) that had not been found suitable for enucleation at the initial point of the discussion [5,6].The most famous quotation from Gertrude Stein's poem Sacred Emily "Rose is a rose is a rose is a rose." is often interpreted as "things are what they are." When reviewing all meta-analyses and structured reviews of the past 3 years, the energy source seems to be secondary and a result of resources and personal preference of a skilled surgeon, today [7]. The time has come to move from sophistical marketing of a single energy source to the overarching principle of anatomical enucleation to focus all efforts to establish enucleation as the de facto standard treatment 32 years after Hiraoka [8] laid the cornerstone for all anatomical transurethral enucleation techniques of the prostate with his monopolar transurethral detachment prostatectomy technique (TUE). Abstract The latest update of the EAU Guidelines on Management of Non-Neurogenic Male Lower Urinary Tract Symptoms, incl. Benign Prostatic Obstruction in 2016 announced a novel acronym for transurethral Endoscopic Enucleation of the Prostate (EEP). This was inspired by a meta-analysis on randomized controlled trials on HolmiumLaser Enucleation of the Prostate (HolEP) and bipolar enucleation versus open simple prostatectomy. EEP codes for the common ground of both techniques: "anatomical enucleation." Although study quality with regard to the availability of long-term randomized controlled trials is at the moment mostly available for HoLEP, and bipolar enucleation, the existing data of all other enucleating techniques that have been demonstrated to perform anatomical enucleation as well should also been summarized under the same term. This editorial is a call for embracing this acronym of EEP for all anatomical enucleating techniques in order to serve for the transition from the age of TURP and open prostatectomy toward the age of EEP. Editorial,The great merit of holmium laser enucleation of the prostate (HoLEP) is to have laid out the re...

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Section: The Latest Update Of the Eau Guidelines On Management Of Nmentioning

confidence: 63%

Section: The Latest Update Of the Eau Guidelines On Management Of Nmentioning

confidence: 99%

Enucleation is enucleation is enucleation is enucleation

Herrmann

2016

World J Urol

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“…En nuestro ensayo, el tiempo total de cirugía fue de 113.9 ± 52.1, quizá porque la media de tejido prostático enucleado fue mayor (65 ± 56.54 g, límites 320-20 cc) y por la experiencia inicial de la resección mediante esta técnica. 10 La enucleación prostática es una técnica difícil de dominar para el urólogo, pues requiere una curva de aprendizaje alta. De acuerdo con diversos estudios, un urólogo sin adiestramiento puede obtener una experiencia razonable después de 50 casos, con resultados comparables a los expertos.…”

Section: Discussionunclassified

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et al. 2018

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“…A randomized control trial [20] compared ThuLEP with bipolar endoscopic enucleation of prostate in medium sized prostate (mean 67.1 cc). ThuLEP provided less risk of hemorrhage and shorter catheter time, although the differences may be of little clinical relevance.…”

Section: Thulium Laser Enucleation Of Prostate (Thulep)mentioning

confidence: 99%

“…Bipolar endoscopic enucleation of prostate is further popularized by Prof Liu CX's group [10] which presented their experience in 1100 patients in 2003-2009, using the technique with only the bipolar transurethral surgery system without the use of morcellator. In the last 15 years, bipolar endoscopic enucleation of the prostate has been reported in many centers with different bipolar transurethral systems, electrodes, modified resection devices and tissue removal technique [3][4][5][6][7][8][10][11][12][13][14][15][16][17][18][19][20][21], so that there was no single unified terminology to describe this technique. In this chapter the term "bipolar endoscopic enucleation of prostate" [12] is used to highlight to key component of this transurethral technique [10][11][12][13][14][15] and to concur with the term "endoscopic enucleation of the prostate" used in the current guideline in European Association of Urology [1].…”

Section: Introductionmentioning

confidence: 99%

Bipolar Endoscopic Enucleation of Big Benign Prostate Enlargement

Chan¹,

Kan²,

Li³

2019

Prostatectomy

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Large benign prostatic enlargement (BPE) has been a major health problem and the surgical management could be technically challenging to urologists due to the limitation of conventional monopolar transurethral resection of prostate. Bipolar endoscopic enucleation of prostate aimed to remove the adenoma of BPE by stepwise adenoma devascularization and maximal adenoma removal through minimally invasive surgery. In this chapter we described the general principle, the surgical techniques of bipolar endoscopic enucleation and the related modifications of the technique in the recent years. As compared with open prostatectomy, bipolar endoscopic enucleation avoided the wound complications but achieved similar functional outcome. Bipolar endoscopic enucleation also allowed much more adenoma removal comparing with transurethral resection of the prostate. Unlike Holmium laser or thulium laser enucleation of the prostate, the required instruments for bipolar endoscopic enucleation of the prostate were familiar and more readily available to most urologists.

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Thulium Laser Enucleation Versus Plasmakinetic Enucleation of the Prostate: A Randomized Trial of a Single Center

Cited by 36 publications

References 21 publications

Enucleation is enucleation is enucleation is enucleation

Enucleation is enucleation is enucleation is enucleation

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Bipolar Endoscopic Enucleation of Big Benign Prostate Enlargement

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