Saredi Giovanni, Pacchetti Andrea, Pirola Giacomo Maria, Berti Lorenzo, Ambrosini Francesca, Martorana Eugenio, Marconi Alberto Mario
Department of Urology, Ospedale di Circolo e Fondazione Macchi, Varese, Italy.
Department of Urology, University of Genova, Genova, Italy.
Urology. 2017 Oct;108:207-211. doi: 10.1016/j.urology.2017.07.011. Epub 2017 Jul 20.
To report a new technique for thulium laser enucleation of the prostate, which we called "en bloc" ThuLEP.
A full anatomic description of the technique is provided. We assessed operative variables of a 50-patient series, treated with the new "en bloc" ThuLEP, and compared them with another series of 50 patients (who had the same preoperative parameters) operated with the classical "3-lobe" technique, to assess the feasibility of the new one. All procedures were carried out by the same surgeon.
In our experience, "en bloc" ThuLEP permits an easier enucleation of the adenoma, reduces operating time, and reduces the amount of energy delivered per adenoma gram compared with the classical technique. Further studies are needed to validate this technical evolution of prostatic enucleation and verify the reduction of postoperative irritative symptoms.
"En bloc" ThuLEP may represent a valid alternative for prostatic adenoma enucleation, mostly in medium-sized prostates.
报告一种新型的铥激光前列腺剜除术，我们称之为“整块”铥激光前列腺剜除术（ThuLEP）。
提供该技术的完整解剖学描述。我们评估了采用新型“整块”ThuLEP治疗的50例患者的手术变量，并将其与另一组50例（具有相同术前参数）采用传统“三叶”技术手术的患者进行比较，以评估新技术的可行性。所有手术均由同一位外科医生进行。
根据我们的经验，与传统技术相比，“整块”ThuLEP能更轻松地剜除腺瘤，缩短手术时间，并减少每克腺瘤的能量传递量。需要进一步研究来验证这种前列腺剜除术的技术改进，并证实术后刺激性症状的减少。
“整块”ThuLEP可能是前列腺腺瘤剜除术的一种有效替代方法，尤其适用于中等大小的前列腺。
