Bipolar transurethral enucleation of prostate versus photoselective vaporization for symptomatic benign prostatic hyperplasia (&gt;70 ml)

Mu, Xiao-Nan; Wang, Sijun; Chen, Ji; Jin, Xunbo; Huang, Zhong‐Xian; Zhang, Longyang

doi:10.4103/1008-682x.178484

Cited by 11 publications

(8 citation statements)

References 39 publications

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“…This case series demonstrated that BIPOLEP was a safe and effective procedure. As compared to previous studies, [2][3][4][5][6][7][8][9][10][11][12] our series had shorter bladder irrigation time, earlier catheter removal and discharge, and also zero blood transfusion Even there was some readmission due to secondary hemorrhage, they were self-limiting and none of our patients suffered from postoperative urinary retention. This result supported our hypothesis that the new machine has good hemostasis effect and lead to an improvement in clinical outcomes.…”

Section: Discussionmentioning

confidence: 46%

“…As a result, enucleation has emerged as a new standard treatment enlarged prostates with a size of 80 mL or above. 1 Currently, there were many reports on the usage of bipolar transurethral enucleation of the prostate (BIPOLEP) in different series with satisfactory outcomes [2][3][4][5][6][7][8][9][10][11][12] (Table 1). However, most of these studies still reported prolonged postoperative irrigation time, catheter time and also hospital stay.…”

mentioning

confidence: 99%

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The Initial Clinical Experience of a New Generation Bipolar Electrosurgical and Morcellator Unit for Bipolar Transurethral Enucleation of the Prostate

Lo¹,

Lim²,

Fai³

et al. 2020

Journal of Endoluminal Endourology

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Background and Objective To assess the feasibility and safety of performing bipolar transurethral enucleation of the prostate (BIPO-LEP) with a new generation of bipolar electrosurgical and morcellator system. Material and Methods Forty-five consecutive patients scheduled for endoscopic surgery for benign prostatic obstruction were pro-spectively recruited. BIPOLEP was performed with the use of the third generation Karl Storz AUTOCON III 400 and morcellator unit. All patients had a trial without a catheter on Day-1 after surgery. Demographical, preoperative, intraoperative and follow-up data up to 3 months post-surgery were collected and analyzed. Results Between May 2018 and April 2019, 45 consecutive patients underwent BIPOLEP in our institution were prospectively recruited for this study. The mean age was 76 years old. Thirty-four patients (75.6%) were in refractory retention or obstructive uropathy. The mean enucleation efficiency was 1.76 grams per minute of enucleation time (SD = 0.7 gram per minute). The mean bladder irrigation and catheterization times were 5.3 hours and 20.7 hours respectively. Only one patient failed voiding trial on Day-1 after surgery. The postoperative Day-1 discharge rate was 73.3% (n = 33). The median length of hospital stay was 1 day. No patient required clot evacuation or blood transfusion. Seven patients (15.6%) were readmitted within thirty days postoperatively for complications, due to hematuria (8.9%, n = 4) and febrile urinary tract infection (6.7%, n = 3). Nevertheless, none was readmitted for acute urinary retention. Conclusion The use of a new generation of bipolar electrosurgical and morcellator unit for BIPOLEP was safe and the majority could be discharged without catheter within one day after surgery.

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Section: Discussionmentioning

confidence: 46%

mentioning

confidence: 99%

The Initial Clinical Experience of a New Generation Bipolar Electrosurgical and Morcellator Unit for Bipolar Transurethral Enucleation of the Prostate

Lo¹,

Lim²,

Fai³

et al. 2020

Journal of Endoluminal Endourology

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“…One prospective cohort compared PVP (160 W LBO green laser system) with bipolar endoscopic enucleation of prostate. It demonstrated that significant improvement of IPSS, QOL, Qmax, PVR and PSA changes in favor of bipolar endoscopic enucleation of prostate in 12 months (mean prostate size 88.3 ml) [21]. There was no difference in terms of perioperative complications and no transfusion was required in both group of patient.…”

Section: Photoselective Vaporization Of Prostate (Pvp)mentioning

confidence: 86%

“…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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“…First, the follow-up time varied from study to study: data for more than 12 months of follow-up were obtained from only 1 study, [ 15 ] and the majority of the included studies had a maximum follow-up of up to 1 year. [ 10 , 13 , 14 , 16 , 17 , 19 – 22 , 24 , 25 ] Consequently, we lacked the data to evaluate the differences in long-term efficacy and safety between EEP and EVP. Second, as a result of rare complications and zero events reported by some studies, the pooled ORs were less precise.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic enucleation vs endoscopic vaporization procedures for benign prostatic hyperplasia: how should we choose

et al. 2020

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Bipolar transurethral enucleation of prostate versus photoselective vaporization for symptomatic benign prostatic hyperplasia (>70 ml)

Cited by 11 publications

References 39 publications

The Initial Clinical Experience of a New Generation Bipolar Electrosurgical and Morcellator Unit for Bipolar Transurethral Enucleation of the Prostate

The Initial Clinical Experience of a New Generation Bipolar Electrosurgical and Morcellator Unit for Bipolar Transurethral Enucleation of the Prostate

Bipolar Endoscopic Enucleation of Big Benign Prostate Enlargement

Endoscopic enucleation vs endoscopic vaporization procedures for benign prostatic hyperplasia: how should we choose

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