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

Yin, Xiaolin; Hui, Sun; Liu, Ming; Wang, Zehua; Shi, Benkang; Zheng, Xueping

doi:10.1097/md.0000000000022882

Cited by 3 publications

(2 citation statements)

References 41 publications

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“…[4] Many previous researchers have done a lot of work on the comparisons of TURP, PKRP, HoLEP, or other procedures, most of them considered that all had similar clinical efficacy, but the characteristics of complications and safety features among different procedures always keep controversial. [5][6][7] A possible reason for these discrepancies may be the lack of an uniform criterion for assessment in complications. The Clavien-Dindo classification (CDC), initiated in 1992 and revised in 2004, was used to assess the complication by 5 scale classification based on the therapy to the complication, which was regarded as a reliable and repeatable classification system.…”

Section: Introductionmentioning

confidence: 99%

Observation of complications assessed by Clavien-Dindo classification in different endoscopic procedures of benign prostatic hyperplasia: An observational study

Pan

Dai

et al. 2023

Medicine

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The Clavien-Dindo classification (CDC) was widely used in the assessment of surgical complications, but some inconsistencies always existed in urological literature. This study was aimed to report complications of the transurethral resection of the prostate (TURP), plasmakinetic resection of the prostate (PKRP), and holmium laser enucleation of the prostate (HoLEP) by using a more detailed way under the framework of CDC. A total of 623 eligible cases underwent endoscopic procedures from January 2018 and December 2020 were divided into the TURP group (212 cases), the PKRP group (208 cases), and the HoLEP group (203 cases) according to the surgical type. Patients’ surgical complications assessed by the CDC were compared among the 3 groups. The operation time, intraoperative irrigation volume, postoperative irrigation time and volume, decrease in hemoglobin and sodium, postoperative catheterization time, visual analogue scale, hospital stay of the PKEP group and the HoLEP group were significantly less than those of the TURP group, and the decrease in hemoglobin and visual analogue scale in the HoLEP group were significantly lower than those in the PKEP group (all P < .05). The electrolyte disturbance, urinary tract irritation, and patients with grade II of CDC in the PKRP group were significantly lower than those in the TURP group; The electrolyte disturbance, lower abdominal pain, urinary tract irritation, intraoperative hemorrhage, secondary hemorrhage, clot retention, patients with grade I, II, III of CDC in the HoLEP group were significantly lower than those in the TURP group, and the urinary tract irritation, grade I, II of CDC in the HoLEP group was significantly lower than that in the PKRP group (all P < .05). The CDC should be recommended because of the enhanced insight into surgical complications, and the HoLEP should be given a priority for Benign prostatic hyperplasia (BPH) surgical treatment in terms of the merits in surgical characteristics and complications.

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Section: Introductionmentioning

confidence: 99%

Observation of complications assessed by Clavien-Dindo classification in different endoscopic procedures of benign prostatic hyperplasia: An observational study

Pan

Dai

et al. 2023

Medicine

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“…2). 2020) показало, что по сравнению с лазерной вапоризацией лазерная энуклеация ассоциируется с меньшим расходом общий энергии, частотой повторного лечением остаточной аденомы и лучшими функциональными профилями [24].…”

Section: Introductionunclassified

Diode laser surgery for benign prostate hyperplasia: a comparative analysis of the efficacy and safety of two techniques

Rakhimov,

Feovilov,

Arbuzov

2023

Vestn. Urol.

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Introduction. The urgency of the issues evaluating the effectiveness of various laser surgery techniques in patients with benign prostatic hyperplasia (BPH) is determined by the presence of a significant number of various complications.Objective. To conduct a comparative analysis of the efficacy and safety of two methods of diode laser surgery for benign prostate hyperplasia.Materials & methods. Retrospective study by monitoring and analysing histories included 52 patients with BPH to compare the efficacy and safety of two techniques of diode laser surgery of BPH. The surgical intervention (prostate enucleation — DiLep or vaporization — DiVap) was performed using diode laser with power of 150 W and wavelength of 980 nm ("MILON" Ent., St. Petersburg, Russian Federation). The efficacy of laser technologies was evaluated according to the following criteria: surgery time (min), prostate volume (cx), post-void residual urine volume (ml), severity of LUTS and quality of life related to urination according to the IPSS-QoL scale (points).Results. The DiLep time for prostate volume 71.3 ± 20.2 cc was 62 - 95 min (71.3 ± 12.6 min), whereas for prostate volume 70.4 ± 21.3 cc the DiVap duration was 50 – 67 min (59.8 ± 8.6 min) with a significant difference between the groups (p = 0.0001). The mean length of hospital stay for patients in the DiLep group was 3.4 ± 1.2 bed-days, whereas in the DiVap patient group it was significantly shorter and averaged 2.2 ± 1.1 bed-days (p = 0.008).Conclusion. Diode laser vaporization (DiVap) requires significantly less surgery time and length of hospital stay than hyperplasia enucleation (DiLep).

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From “Micro-“ Diagnosis to “Macro-“ Treatment, a Road Full of Colors

Iliopoulou,

Mourmouris,

Nikolaidou

2022

Hellenic Urology

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Introduction: From 1878 when the first working cystoscope was presented to today’s era of big data and artificial intelligence, colorful biomarkers remain one of the urologists’ strongest allies. We hereby review the current research frontiers in “color” informatics and their clinical translation in urology through methodologies and applications of visual augmentation of molecular feedback and theragnostic. Results: The multi-dimensional data approach involves firstly lasers’ rapid progress as an omnipresent part of modern urology in a variety of diseases, while color Doppler assists the depiction both of the urinary tract and the male genital tract. Both in molecular and systemic level screening, unique techniques using light, histochemical stain enabling color, and fluorescent tracers are improving morphological discrimination between malignant and benign cells, as well as providing anatomical and functional information preoperatively and intraoperatively. Conclusion: Technologies by exploiting the various lengths of the spectrum of light, which clinically it is translated, and it is evident as different color shades, have significantly toward improved our ability to both diagnose and treat urological entities. Thus, improving the management of light’s and color’s unique attributes could provide urologists with more effective clinical tools.

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

Abstract: Supplemental Digital Content is available in the text

Cited by 3 publications

References 41 publications

Observation of complications assessed by Clavien-Dindo classification in different endoscopic procedures of benign prostatic hyperplasia: An observational study

Observation of complications assessed by Clavien-Dindo classification in different endoscopic procedures of benign prostatic hyperplasia: An observational study

Diode laser surgery for benign prostate hyperplasia: a comparative analysis of the efficacy and safety of two techniques

From “Micro-“ Diagnosis to “Macro-“ Treatment, a Road Full of Colors

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