Giovanni Saredi1, Andrea Pacchetti2, Giacomo Maria Pirola3, Lorenzo Berti1, Francesca Ambrosini1, Eugenio Martorana4, Alberto Mario Marconi1. 1. Department of Urology, Ospedale di Circolo e Fondazione Macchi, Varese, Italy. 2. Department of Urology, University of Genova, Genova, Italy. 3. Department of Urology, University of Modena and Reggio Emilia, Modena, Italy. Electronic address: gmo.pirola@gmail.com. 4. Department of Urology, University of Modena and Reggio Emilia, Modena, Italy.
Abstract
OBJECTIVE: To report a new technique for thulium laser enucleation of the prostate, which we called "en bloc" ThuLEP. METHODS: A full anatomic description of the technique is provided. We assessed operative variables of a 50-patient series, treated with the new "en bloc" ThuLEP, and compared them with another series of 50 patients (who had the same preoperative parameters) operated with the classical "3-lobe" technique, to assess the feasibility of the new one. All procedures were carried out by the same surgeon. RESULTS: In our experience, "en bloc" ThuLEP permits an easier enucleation of the adenoma, reduces operating time, and reduces the amount of energy delivered per adenoma gram compared with the classical technique. Further studies are needed to validate this technical evolution of prostatic enucleation and verify the reduction of postoperative irritative symptoms. CONCLUSION: "En bloc" ThuLEP may represent a valid alternative for prostatic adenoma enucleation, mostly in medium-sized prostates.
OBJECTIVE: To report a new technique for thulium laser enucleation of the prostate, which we called "en bloc" ThuLEP. METHODS: A full anatomic description of the technique is provided. We assessed operative variables of a 50-patient series, treated with the new "en bloc" ThuLEP, and compared them with another series of 50 patients (who had the same preoperative parameters) operated with the classical "3-lobe" technique, to assess the feasibility of the new one. All procedures were carried out by the same surgeon. RESULTS: In our experience, "en bloc" ThuLEP permits an easier enucleation of the adenoma, reduces operating time, and reduces the amount of energy delivered per adenoma gram compared with the classical technique. Further studies are needed to validate this technical evolution of prostatic enucleation and verify the reduction of postoperative irritative symptoms. CONCLUSION: "En bloc" ThuLEP may represent a valid alternative for prostatic adenoma enucleation, mostly in medium-sized prostates.
Authors: Frank Rücker; Karin Lehrich; Axel Böhme; Mario Zacharias; Sascha A Ahyai; Jens Hansen Journal: World J Urol Date: 2021-01-24 Impact factor: 4.226
Authors: Giovanni Saredi; Giacomo Maria Pirola; Francesca Ambrosini; Simone Barbieri; Lorenzo Berti; Andrea Pacchetti; Domenico Iovino; Giuseppe Ietto; Letizia Libassi; Giulio Carcano Journal: Asian J Urol Date: 2019-02-04