Lutfi Tunc1, Serdar Yalcin2, Engin Kaya3, Eymen Gazel4, Sercan Yılmaz2, Halil Cagri Aybal5, Mehmet Yılmaz6, Theodoros Tokas7. 1. Department of Urology, Gazi University School of Medicine, Ankara, Turkey. 2. Department of Urology, Gülhane Training and Research Hospital, Health Sciences University, Ankara, Turkey. 3. Department of Urology, Gülhane Training and Research Hospital, Health Sciences University, Ankara, Turkey. drenginkaya@yahoo.com. 4. Department of Urology, Acıbadem University Ankara Hospital, Ankara, Turkey. 5. Department of Urology, Ankara Oncology Training and Research Hospital, Ankara, Turkey. 6. Department of Urology, Ankara City Hospital, Health Sciences University, Ankara, Turkey. 7. Department of Urology and Andrology, General Hospital Hall i.T, Hall in Tirol, Austria.
Abstract
PURPOSE: Holmium-laser enucleation of the prostate (HoLEP) has been a promising prostate surgery since its first introduction. Although there are 10 different HoLEP techniques in the literature, stress urinary incontinence (SUI) is common, because surgery is not performed based on the topographic anatomy of the external sphincter. We have developed a new HoLEP method named as the ''Omega Sign technique", which is based on the topographic anatomy of the external sphincter and could provide better continence outcomes by decreasing SUI rates. MATERIALS AND METHODS: The data of 400 patients who underwent HoLEP by a single surgeon between May 2016 and February 2019 were retrospectively reviewed. The patients were divided into two groups, the first underwent the Gilling's technique (Group 1) and the second the novel ''Omega Sign'' technique (Group 2). Continence status and post-micturition symptoms (PMS) were evaluated according to the standards recommended by the international continence status. RESULTS: The data of 400 HoLEP procedures between May 2016 and February 2019 were analyzed, comparing Group 1 (n = 200) and Group 2(n = 200). SUI rate was significantly lower in Group 2 at the day of catheter removal and first month (p < 0.005). In addition, urge urinary incontinence (UUI) rate and PMS were significantly lower in Group 2. CONCLUSIONS: We could demonstrate improved continence results, comparable functional outcomes and equally minimal complications with the standard HoLEP technique. We believe that, the novel 'Omega sign' technique decreases SUI rates and will become standardised and easy to understand, thereby bringing and creating a shorter learning curve.
PURPOSE: Holmium-laser enucleation of the prostate (HoLEP) has been a promising prostate surgery since its first introduction. Although there are 10 different HoLEP techniques in the literature, stress urinary incontinence (SUI) is common, because surgery is not performed based on the topographic anatomy of the external sphincter. We have developed a new HoLEP method named as the ''Omega Sign technique", which is based on the topographic anatomy of the external sphincter and could provide better continence outcomes by decreasing SUI rates. MATERIALS AND METHODS: The data of 400 patients who underwent HoLEP by a single surgeon between May 2016 and February 2019 were retrospectively reviewed. The patients were divided into two groups, the first underwent the Gilling's technique (Group 1) and the second the novel ''Omega Sign'' technique (Group 2). Continence status and post-micturition symptoms (PMS) were evaluated according to the standards recommended by the international continence status. RESULTS: The data of 400 HoLEP procedures between May 2016 and February 2019 were analyzed, comparing Group 1 (n = 200) and Group 2(n = 200). SUI rate was significantly lower in Group 2 at the day of catheter removal and first month (p < 0.005). In addition, urge urinary incontinence (UUI) rate and PMS were significantly lower in Group 2. CONCLUSIONS: We could demonstrate improved continence results, comparable functional outcomes and equally minimal complications with the standard HoLEP technique. We believe that, the novel 'Omega sign' technique decreases SUI rates and will become standardised and easy to understand, thereby bringing and creating a shorter learning curve.
Authors: Mohammad Hout; Aaron Gurayah; Maria Camila Suarez Arbelaez; Ruben Blachman-Braun; Khushi Shah; Thomas R W Herrmann; Hemendra N Shah Journal: World J Urol Date: 2022-10-04 Impact factor: 3.661
Authors: Onur Acikgoz; Mehmet Yilmaz; Halil Cagri Aybal; Sercan Yilmaz; Eymen Gazel; Serdar Yalcin; Mehmet Duvarci; Engin Kaya; Arkadiusz Miernik; Lutfi Tunc Journal: Cent European J Urol Date: 2021-10-22
Authors: Antonio Andrea Grosso; Fabrizio Di Maida; Andrea Mari; Samuele Nardoni; Agostino Tuccio; Andrea Minervini Journal: Int Braz J Urol Date: 2022 Jan-Feb Impact factor: 1.541
Authors: Lutfi Tunc; Giorgio Bozzini; Cesare Marco Scoffone; Selcuk Guven; Thomas Hermann; Angelo Porreca; Vincent Misrai; Sascha Ahyai; Murat Zor; Emin Aksoy; Ali S Gozen Journal: Eur Urol Open Sci Date: 2021-08-18