1. [Comparative analysis of the effectiveness of various techniques of endoscopic prostate enucleation in a single center].
- Author
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Enikeev DV, Glybochko PV, Alyaev YG, Rapoport LM, Sorokin NI, Sukhanov RB, Spivak LT, Khamraev OK, Taratkin MS, and Laukhtina EA
- Subjects
- Aged, Comparative Effectiveness Research, Endoscopy methods, Holmium therapeutic use, Humans, Male, Middle Aged, Organ Size, Perioperative Period, Retrospective Studies, Russia, Thulium therapeutic use, Treatment Outcome, Laser Therapy adverse effects, Laser Therapy instrumentation, Laser Therapy methods, Postoperative Complications diagnosis, Postoperative Complications prevention & control, Postoperative Complications psychology, Prostatic Hyperplasia pathology, Prostatic Hyperplasia physiopathology, Prostatic Hyperplasia therapy, Prostatism diagnosis, Prostatism etiology, Prostatism psychology, Quality of Life
- Abstract
Aim: To compare electro- and laser enucleation (thulium, holmium) of prostate hyperplasia., Material and Methods: 693 prostate hyperplasia patients were enrolled. 489 patients underwent holmium enucleation (HoLEP), 51 - monopolar enucleation, 153 - thulium enucleation (ThuLEP). Prostate volume was 91.7 (50-250) cm
3 . There were no significant differences in preoperative variables between both groups (I-PSS, QoL, Qmax, residual urine volume) (p>0.05)., Results: Mean time of HoLEP was 97.0±42.2 min, monopolar enucleation - 112.9±36.3 min, ThuLEP duration was significantly less (77.4±36.3 min, p<0.01). An efficacy of all methods was confirmed in 6 months after surgery by significant (p<0.01) improvement of functional parameters (I-PSS, QoL, Qmax, residual urine volume)., Conclusion: High efficiency of thulium and holmium enucleation allows to consider them as 'gold standard' of prostate hyperplasia management. Despite higher incidence of complications an efficacy of monopolar enucleation is comparable to that in laser techniques.- Published
- 2017
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