Izvorni znanstveni članak
https://doi.org/10.20471/acc.2023.62.s2.14
Thulium:YAG Laser Enucleation of The Prostate (ThuLEP) - Our Expirience in 246 Patients
Nikola Zebić
orcid.org/0009-0008-5865-5241
; Department of Urology, Hospital Rotthalmünster, Health facilities District of Passau, Germany
Velimir Terzić
; Department of Urology, Vinkovci General County Hospital, Vinkovci, Croatia; Faculty of Medicine Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Vinko Krajina
; Department of Urology, Osijek University Hospital Center, Osijek, Croatia; Faculty of Medicine Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Sažetak
New minimally invasive procedures to treat benign prostatic hyperplasia (BPH) have
been developed in the last 20 years. With the introduction of laser enucleation techniques in prostate
surgery, previous standard surgical procedures (open retropubic or transvesical adenectomy and transurethral
resection of the prostate) have become less relevant, especially in case of very large prostates. The
objective of this paper is to describe the experience and results of thulium:YAG laser application in BPH
treatment in our department. In the last five years, 246 patients underwent thulium:YAG laser enucleation
of the prostate (ThuLEP) due to BPH or lower urinary tract symptoms following complete urologic
evaluation. The mean age of our patients was 73 (range 51-95) years and mean duration of surgery
was 92 minutes. The mean weight of enucleated tissue was 73 grams. A low rate of intraoperative and
early postoperative complications and short length of stay proved minimal invasiveness of this procedure,
which results in significant improvements in urodynamic parameters and substantially reduces the postvoid
residual urine volume. The most important surgical and technical characteristics (enucleation and
low-power laser application) make ThuLEP a safe and efficient surgical method not limited by the prostate
volume. ThuLEP has a potential to displace the current standard surgical procedures to treat BPH.
Ključne riječi
Benign prostatic hyperplasia; Minimally invasive surgery; Thulium:YAG laser
Hrčak ID:
309993
URI
Datum izdavanja:
31.7.2023.
Posjeta: 211 *