Two-year Follow-up in Bipolar Transurethral Enucleation and Resection of the Prostate in Comparison with Bipolar Transurethral Resection of the Prostate in Treatment of Large Prostates. Randomized Controlled Trial

“…This is attributed to good hemostasis in PKEP procedure. Samir et al (16) reported that, the mean indwelling uretheral catheter time was shorter in PKEP group (43.89 ±8.62 hrs.) than in PKRP (54.03 ±6.08 hrs.).…”

Section: Discussionmentioning

confidence: 96%

Benign Prostatic Hyperplasia: Enucleation versus Resection Using Plasmakinetic Energy: A Prospective Randomized Study at Zagazig University Hospital

Ibrahim¹,

Yousef²,

Khalil³

et al. 2022

The Egyptian Journal of Hospital Medicine

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Background: Transuretheral resection of the prostate (TURP) has been the gold standard endoscopic treatment for bladder outlet obstruction (BOO) secondary to benign prostatic hyperplasia (BPH). New technologies have been developed to minimize the morbidity of TURP. Recently, the Gyrus Plasma Kinetic (PK) System is the first bipolar device used in urological practice, as a new modality in treatment of BPH. Objective: To evaluate the efficacy and safety of plasmakinetic enucleation compared to plasmakinetic resection of the prostate in the management of BOO induced by BPH. Patients and Methods: This study was conducted on 58 volunteers

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“…These results indicated that the patients who accepted HoLEP had a better prognosis in long term, compared with B-TURP. A novel form of enucleation of the prostate named as BPEP was described based on B-TURP, which appeared to better catheterization time, hospital stay, and lower risk of bleeding ( Samir et al, 2019 ). A previous study demonstrated that HoLEP had a shorter operative time than plasmakinetic enucleation ( Neill et al, 2006 ).…”

Section: Discussionmentioning

confidence: 99%

The Efficacy and Safety of HoLEP for Benign Prostatic Hyperplasia With Large Volume: A Systematic Review and Meta-Analysis

et al. 2022

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This meta-analysis was to evaluate the efficacy and safety of holmium laser enucleation of prostate (HoLEP) in the treatment of benign prostatic hyperplasia (BPH) with large volume. PubMed, Embase, and Cochrane Library databases (until March 2022) were used to search related randomized controlled trials. A total of 11 studies including 1,258 patients were involved. HoLEP could significantly decrease the length of hospital stay and accelerate recovery. In subanalysis, HoLEP had better perioperative outcomes than bipolar transurethral resection of the prostate (B-TURP) and bipolar transurethral enucleation of the prostate (BPEP). The improvement in operative time and enucleation time was better in thulium laser enucleation of the prostate (ThuLEP) than HoLEP. In the follow-up period, the HoLEP decreased post-void residual urine (PVR) in short-term intervals and improved patients’ maximum flow rate (Qmax) and prostate-specific antigen (PSA) in mid- and long-term intervals. In subanalysis, HoLEP presented significant improvements in Qmax, PSA, and quality of life (QoL) than B-TURP, and HoLEP could also improve Qmax than ThuLEP after 6 months of surgery. The HoLEP reduced the risk of postoperative bleeding compared with other surgeries in safety. In our study, we confirmed the advantages of HoLEP in treating BPH when the prostate size was larger than 80 mL, which indicated that HoLEP could be the best choice for treatment of large volume of prostate.

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Two-year Follow-up in Bipolar Transurethral Enucleation and Resection of the Prostate in Comparison with Bipolar Transurethral Resection of the Prostate in Treatment of Large Prostates. Randomized Controlled Trial

Cited by 10 publications

References 21 publications

Can high-dose tranexamic acid have a role during transurethral resection of the prostate in large prostates? A randomised controlled trial

Can high-dose tranexamic acid have a role during transurethral resection of the prostate in large prostates? A randomised controlled trial

Benign Prostatic Hyperplasia: Enucleation versus Resection Using Plasmakinetic Energy: A Prospective Randomized Study at Zagazig University Hospital

The Efficacy and Safety of HoLEP for Benign Prostatic Hyperplasia With Large Volume: A Systematic Review and Meta-Analysis

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