PDF(Pubmed)
Abstract：
UNASSIGNED: Anatomical endoscopic enucleation of the prostate (AEEP) provides durable management for patients with lower urinary tract symptoms (LUTS) secondary to large-sized prostate over other surgical modalities. We aimed to assess the early outcomes of Collins knife-assisted bipolar enucleation (BipolEP) versus Thulium-Yag enucleation (ThuLEP) in a group of patients with LUTS secondary to a prostate larger than 80 grams.
UNASSIGNED: We included patients with benign prostatic hyperplasia (BPH) having a prostate volume > 80 grams, international prostate symptom score (IPSS) >7, urine flow (Q-max) <15, and post-void residual (PVR)>150 ml. We excluded those with a history of previous prostatic surgery, stone, or neurogenic bladder. Bipolar enucleation with early apical release was performed using Collins knife at an 80/100-watt setting (Lamidey Noury), while ThuLEP was conducted using 550- micron fiber and 40/15-watt energy (Lisa Laser). Patients were evaluated before then 2 weeks and 3, 6,12 months postoperatively for changes in IPSS, Q- max, PVR, and the incidence of stress incontinence.
UNASSIGNED: One hundred and twenty patients were equally randomized with a mean prostate size of 104 ± 25 gram. The mean IPSS score was 25 ± 6, Qmax 7.6 ± 1.3 mL/S, and PVR 225 ± 39. There was no significant difference regarding enucleation time, morcellation time, and enucleated tissue volume. Irrigation volume and post-operative hemoglobin drop were significantly lower in the bipolar group (p = 0.008, p = 0.0002), respectively. At the third-month follow-up, IPSS, Q-max, and PVR were comparable across both groups, with stress incontinence at 3.3% in the bipolar group versus 1.6% in the thulium group, showing an insignificant difference (p = 0.5).\"
UNASSIGNED: Both BipolEP and ThuLEP, with early apical release, provide a safe and effective management of large-size prostate resulting in significant decrease in post-operative stress incontinence incidence during early follow-up. Intraoperative irrigation saline volume, and post-operative hemoglobin drop favored the bipolar group.
UNASSIGNED: We included patients with benign prostatic hyperplasia (BPH) having a prostate volume > 80 grams, international prostate symptom score (IPSS) >7, urine flow (Q-max) <15, and post-void residual (PVR)>150 ml. We excluded those with a history of previous prostatic surgery, stone, or neurogenic bladder. Bipolar enucleation with early apical release was performed using Collins knife at an 80/100-watt setting (Lamidey Noury), while ThuLEP was conducted using 550- micron fiber and 40/15-watt energy (Lisa Laser). Patients were evaluated before then 2 weeks and 3, 6,12 months postoperatively for changes in IPSS, Q- max, PVR, and the incidence of stress incontinence.
UNASSIGNED: One hundred and twenty patients were equally randomized with a mean prostate size of 104 ± 25 gram. The mean IPSS score was 25 ± 6, Qmax 7.6 ± 1.3 mL/S, and PVR 225 ± 39. There was no significant difference regarding enucleation time, morcellation time, and enucleated tissue volume. Irrigation volume and post-operative hemoglobin drop were significantly lower in the bipolar group (p = 0.008, p = 0.0002), respectively. At the third-month follow-up, IPSS, Q-max, and PVR were comparable across both groups, with stress incontinence at 3.3% in the bipolar group versus 1.6% in the thulium group, showing an insignificant difference (p = 0.5).\"
UNASSIGNED: Both BipolEP and ThuLEP, with early apical release, provide a safe and effective management of large-size prostate resulting in significant decrease in post-operative stress incontinence incidence during early follow-up. Intraoperative irrigation saline volume, and post-operative hemoglobin drop favored the bipolar group.
摘要：
■与其他手术方式相比，解剖内镜前列腺摘除术（AEEP）可为继发于大型前列腺的下尿路症状（LUTS）患者提供持久的治疗。我们旨在评估Collins刀辅助双极眼球摘除术（BipolEP）与Thulium-Yag摘除术（ThuLEP）在一组前列腺大于80克的LUTS患者中的早期结果。
■我们纳入了前列腺体积>80克的良性前列腺增生（BPH）患者，国际前列腺症状评分（IPSS）>7，尿流量（Q-max）<15，术后残余（PVR）>150ml。我们排除了那些有前列腺手术史的人,石头,或者神经源性膀胱。使用Collins刀在80/100瓦的设置下进行早期根尖释放的双极摘除（LamideyNoury），而ThuLEP是使用550微米的光纤和40/15瓦的能量（LisaLaser）进行的。在术后2周和3、6、12个月前评估患者IPSS的变化，Q-max,PVR,和压力性尿失禁的发生率。
■120名患者被随机分组，平均前列腺大小为104±25克。平均IPSS评分为25±6，Qmax为7.6±1.3mL/S，和PVR225±39。关于摘除时间没有显着差异，分折时间,和去核组织体积。双极组的冲洗量和术后血红蛋白下降显著较低(p=0.008,p=0.0002),分别。在第三个月的随访中，IPSS,Q-max,PVR在两组之间具有可比性，双极组压力性尿失禁为3.3%，thus组压力性尿失禁为1.6%，显示出不显著的差异(p=0.5)。\"
■BipolEP和ThuLEP，早期顶端释放，为大体积前列腺提供安全有效的管理，从而在早期随访期间显着降低术后压力性尿失禁的发生率。术中冲洗生理盐水量,术后血红蛋白下降有利于双极患者。
■我们纳入了前列腺体积>80克的良性前列腺增生（BPH）患者，国际前列腺症状评分（IPSS）>7，尿流量（Q-max）<15，术后残余（PVR）>150ml。我们排除了那些有前列腺手术史的人,石头,或者神经源性膀胱。使用Collins刀在80/100瓦的设置下进行早期根尖释放的双极摘除（LamideyNoury），而ThuLEP是使用550微米的光纤和40/15瓦的能量（LisaLaser）进行的。在术后2周和3、6、12个月前评估患者IPSS的变化，Q-max,PVR,和压力性尿失禁的发生率。
■120名患者被随机分组，平均前列腺大小为104±25克。平均IPSS评分为25±6，Qmax为7.6±1.3mL/S，和PVR225±39。关于摘除时间没有显着差异，分折时间,和去核组织体积。双极组的冲洗量和术后血红蛋白下降显著较低(p=0.008,p=0.0002),分别。在第三个月的随访中，IPSS,Q-max,PVR在两组之间具有可比性，双极组压力性尿失禁为3.3%，thus组压力性尿失禁为1.6%，显示出不显著的差异(p=0.5)。\"
■BipolEP和ThuLEP，早期顶端释放，为大体积前列腺提供安全有效的管理，从而在早期随访期间显着降低术后压力性尿失禁的发生率。术中冲洗生理盐水量,术后血红蛋白下降有利于双极患者。
