دورية أكاديمية
Green light laser enucleation of the prostate with early apical release is safe and effective: single center experience and revision of the literature
| العنوان: | Green light laser enucleation of the prostate with early apical release is safe and effective: single center experience and revision of the literature |
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| المؤلفون: | Ferrari G., Rabito S., Gatti L., Ntep N. N., Vitelli F. D., Marchioni M., Rocco B. M., Micali S., Ferrari R., Cindolo L. |
| المساهمون: | Ferrari, G., Rabito, S., Gatti, L., Ntep, N. N., Vitelli, F. D., Marchioni, M., Rocco, B. M., Micali, S., Ferrari, R., Cindolo, L. |
| سنة النشر: | 2022 |
| المجموعة: | Archivio della ricerca dell'Università di Modena e Reggio Emilia (Unimore: IRIS) |
| مصطلحات موضوعية: | Endoscopy, Laser, Prostate, Human, Male, Postoperative Complication, Treatment Outcome, Prostatic Hyperplasia, Transurethral Resection of Prostate |
| الوصف: | BACKGROUND: Green Light laser enucleation of the prostate (GreenLEP) is an endoscopic treatment to treat bladder outlet obstruction in men with large prostate (>100 cc). Herein, we describe our GreenLEP series and describe its safety and efficacy. METHODS: Between February 2014 and April 2019, 120 patients from a single center underwent en-bloc GreenLEP with early apical release. All procedures were performed with the AMS XPS laser generator (set: 120 W for vaporization and 20 W for coagulation). Morcellation was carried out with the Wolf Piranha morcellator. Data concerning the pre-, intra- and postoperative outcomes were prospectively collected. The follow-up data at 6, 12 months and at the last control were collected. RESULTS: The median age was 66.0 (IQR: 61.0-71.0) years; 37.5% of the patients were under antiplatelet/anticoagulant therapy, 15.0% had indwelling catheter history. The median prostate volume and the baseline PSA value were 98.5 mL (IQR 83.0-130.0) and 4.2 ng/mL (IQR: 3.2-6.8), respectively. The median operative and lasing time were 65.0 (IQR: 51.0-83.5) and 6.0 (IQR: 6.0-10.0) minutes, respectively. In the postoperative period 1 patient was transfused. The median follow-up was 18.0 (IQR: 12.0-39.5) months. All patients had significant improvement in terms of improvement of uroflowmetry (median from 9 mL/sec [IQR 7.8, 11.0] to 20.0 [IQR 18.0, 22.0], P<0.001) and symptoms control (IPSS median score from 26.0 mL/sec [IQR 22.0, 28.0] to 7.0 [IQR 6.0, 8.0], P<0.001]) over time. After 12 months 1 patient complained of stress incontinence (1 pad/day) and 1 of "de novo"wet urgency. CONCLUSIONS: En-bloc GreenLEP with early apical release is a safe and effective procedure even for large volume prostates. It allows us to limit the use of laser energy and shorten the operating times with stable and satisfactory longterm outcomes. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | info:eu-repo/semantics/altIdentifier/pmid/33781016; info:eu-repo/semantics/altIdentifier/wos/WOS:000827248600010; volume:74; issue:4; firstpage:467; lastpage:474; journal:MINERVA UROLOGY AND NEPHROLOGY; http://hdl.handle.net/11380/1286929Test; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85134452277 |
| DOI: | 10.23736/S2724-6051.21.04145-X |
| الإتاحة: | https://doi.org/10.23736/S2724-6051.21.04145-XTest http://hdl.handle.net/11380/1286929Test |
| رقم الانضمام: | edsbas.8DD7B7A7 |
| قاعدة البيانات: | BASE |
| DOI: | 10.23736/S2724-6051.21.04145-X |
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