Yalcin Serdar, Gazel Eymen, Somani Bhaskar K, Yilmaz Sercan, Tunc Lutfi
a Department of Urology , Gülhane Training and Research Hospital , Ankara , Turkey.
b Department of Urology , Acıbadem University Ankara Hospital , Ankara , Turkey.
Minim Invasive Ther Allied Technol. 2019 Aug;28(4):220-226. doi: 10.1080/13645706.2018.1508040. Epub 2018 Oct 8.
In this study we evaluate the influence of longitudinal and transverse length of prostate size measured on the magnetic resonance imaging (MRI) scan on the overall outcomes of HoLEP. The patients were divided into two groups based on the shape of the prostate. Group 1 had a longitudinal shape with a longitudinal diameter greater than the transverse diameter, whereas group 2 had an oval shape with a transverse diameter greater than the longitudinal diameter. The pre-operative, peri-operative and the one-month post-operative data along with the urinary parameters were then evaluated. The two groups were comparable with regard to their pre-operative values. While the median lobe enucleation time and morcellation time showed no difference, group 1 showed a significantly shorter ( < 0.01) operative time for lateral lobe enucleation, lower laser energy usage and better enucleation efficiency. However, there was no difference in the median lobe enucleation time, morcellation time, haemoglobin drop, duration of urethral catheterization and hospital stay. The groups were also comparable with regard to the improvement in urinary parameters and complications. Prostate shape plays a significant role in the surgical treatment of BPH.
在本研究中，我们评估了磁共振成像（MRI）扫描测量的前列腺纵向和横向尺寸对holmium激光前列腺剜除术（HoLEP）总体结果的影响。根据前列腺的形状将患者分为两组。第1组为纵向形状，纵向直径大于横向直径，而第2组为椭圆形，横向直径大于纵向直径。然后评估术前、围手术期和术后1个月的数据以及尿液参数。两组术前值具有可比性。虽然中叶剜除时间和粉碎时间没有差异，但第1组侧叶剜除的手术时间明显更短（<0.01），激光能量使用更低，剜除效率更高。然而，中叶剜除时间、粉碎时间、血红蛋白下降、尿道导管插入持续时间和住院时间没有差异。两组在尿液参数改善和并发症方面也具有可比性。前列腺形状在良性前列腺增生（BPH）的手术治疗中起着重要作用。
