Current evidence of ThuLEP for BPH: A review of literature.

IF 1 Q4 UROLOGY & NEPHROLOGY
Giorgio Bozzini, Lorenzo Berti, Matteo Maltagliati, Carmine Sciorio, Maria Chiara Sighinolfi, Salvatore Micali, Javier Romero Otero, Carlo Buizza, Bernardo Rocco
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引用次数: 7

Abstract

Endoscopic enucleation of the prostate (EEP) techniques for the treatment of benign prostatic hyperplasia (BPH) have become increasingly popular among urologists over the past 23 years. Despite the energy source employed, the aim of all these procedures is to endoscopically remove the prostatic lobes by enucleating them from the prostate surgical capsule. The reasons for which EEP has gained popularity among urologists are the reduction in complications and hospital stay compared to endoscopic gold standard Transurethral Resection of the Prostate (TURP), but especially the possibility to treat large prostates, allowing to abandon open simple prostatectomy (OP) and to avoid the burden related to open surgery. Holmium laser enucleation of the prostate (HoLEP) sets the basic principles of all EEP techniques in 1998 and has become the treatment of reference for BPH. Since then, various lasers have been developed and applied to prostatic enucleation. The thulium laser has a slightly shorter wavelength compared to the holmium laser and a continuous wave output, which increase vaporization and reduce penetration depth. These features make it ideal for prostatic enucleation. A vapoenucleating technique called Thulium Laser Vapoenucleation of the Prostate was presented in 2009, followed by a blunt enucleating technique called Thulium Laser Enucleation of the Prostate in 2010. These techniques have become alternatives to HoLEP and TURP; however, the amount of literature and randomized controlled trials available are inferior compared to HoLEP. The aim of th describe, and discuss current evidence on thulium enucleating techniques.

Abstract Image

目前thullep治疗BPH的证据:文献综述。
内镜下前列腺摘除术(EEP)技术治疗良性前列腺增生(BPH)在过去的23年中越来越受到泌尿科医生的欢迎。尽管使用了能量源,但所有这些手术的目的都是在内窥镜下通过从前列腺手术囊中摘除前列腺叶。与内镜金标准经尿道前列腺切除术(TURP)相比,EEP在泌尿科医生中受到欢迎的原因是并发症和住院时间的减少,尤其是治疗大前列腺的可能性,允许放弃开放式简单前列腺切除术(OP)并避免与开放式手术相关的负担。钬激光前列腺去核术(HoLEP)于1998年确立了所有激光去核术的基本原则,并成为前列腺增生的治疗参考。从那时起,各种激光被开发并应用于前列腺摘除。与钬激光相比,铥激光的波长稍短,并且连续波输出,这增加了汽化并降低了穿透深度。这些特点使其成为前列腺摘除术的理想选择。2009年提出了一种名为铥激光前列腺汽化去核的技术,随后在2010年提出了一种名为铥激光前列腺去核的钝性去核技术。这些技术已经成为HoLEP和TURP的替代方案;然而,与HoLEP相比,文献和随机对照试验的数量较差。目的是描述和讨论目前关于铥去核技术的证据。
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来源期刊
Turkish journal of urology
Turkish journal of urology Medicine-Urology
CiteScore
2.10
自引率
0.00%
发文量
53
期刊介绍: The aim of the Turkish Journal of Urology is to contribute to the literature by publishing scientifically high-quality research articles as well as reviews, editorials, letters to the editor and case reports. The journal’s target audience includes, urology specialists, medical specialty fellows and other specialists and practitioners who are interested in the field of urology.
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