[前列腺内镜剜除术：短期趋势还是新的治疗标准？]

[Endoscopic enucleation of the prostate: a short term trend or a new treatment standard?].

作者信息

Glybochko P V, Alyaev Yu G, Rapoport L M, Enikeev D V, Okhunov Z, Netsch C, Spivak L G, Taratkin M S

机构信息

Research Institute for Uronephrology and Reproductive Health, I.M. Sechenov First MSMU, Moscow, Russia.

Department of Urology, University of California, Irvine, USA.

出版信息

Urologiia. 2018 May(2):130-133.

PMID:29901308

Abstract

Endoscopic enucleation of the prostate (EEP) techniques such as HoLEP (holmium laser enucleation of the prostate), ThuLEP (thulium laser enucleation of the prostate) and electroenucleation (mono- or bipolar) are highly effective and safe. They have been endorsed by the latest version of the European Association of Urology guidelines as an alternative to not only open adenomectomy but also transurethral resection of the prostate (EAU Guidelines on Treatment of Non-neurogenic Male LUTS 2018). Therefore, many urologists face the possibility of replacing the treatments of BPH. In this article, we analyze the history of EEP techniques, both their pros and cons and, what are they today - just a popular trend or a new standard procedure for the surgical treatment of BPH?

摘要

前列腺内镜剜除术（EEP）技术，如钬激光前列腺剜除术（HoLEP）、铥激光前列腺剜除术（ThuLEP）和电切剜除术（单极或双极），具有高效性和安全性。它们已被欧洲泌尿外科学会最新版指南认可，不仅可替代开放性腺瘤切除术，还可替代经尿道前列腺切除术（《2018年欧洲泌尿外科学会非神经源性男性下尿路症状治疗指南》）。因此，许多泌尿外科医生面临着替代良性前列腺增生症治疗方法的可能性。在本文中，我们分析了EEP技术的发展历程、其优缺点，以及它们如今的状况——仅仅是一种流行趋势，还是良性前列腺增生症外科治疗的新标准术式？