Standardized surgical procedure and application of transurethral plasmakinetic enucleation and resection of the prostate in the treatment of benign prostatic hyperplasia
Fu Weijun1, Song Yong1, Wang Wei1, Wang Zhongxin1, Zhang Xu1
1 Department of Urology, Chinese PLA General Hospital, Beijing 100853, China
Abstract:Objective: To discuss the standardized surgical procedure of transurethral plasmakinetic enucleation and resection of the prostate, and evaluate its effect in the treatment of benign prostatic hyperplasia. Methods: Forty patients with benign prostatic hyperplasia treated by transurethral plasmakinetic enucleation and resection of the prostate from January 2016 to December 2016 were selected. The operation videos were retrospectively analyzed to standardize the surgical procedure and the clinical effect of the treatment was evaluated by observing the main operative indexes. Results: All operations were successfully performed. The mean age of the patients was (67.4±7.2) years old, the mean weight of the prostate was (65.45±43.21) g, and the mean operation time was (1.40±0.44) h. Conclusions: Transurethral plasmakinetic enucleation and resection of the prostate was safe and effective, and standardization of the surgical procedure can make it easier to master.
符伟军, 宋勇, 王威, 王忠新, 张旭. 经尿道等离子前列腺分叶剜除术治疗良性前列腺增生的规范化手术步骤及初步临床应用[J]. 微创泌尿外科杂志, 2017, 6(5): 305-308.
Fu Weijun, Song Yong, Wang Wei, Wang Zhongxin, Zhang Xu. Standardized surgical procedure and application of transurethral plasmakinetic enucleation and resection of the prostate in the treatment of benign prostatic hyperplasia. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2017, 6(5): 305-308.
[1] Oelke M, Bachmann A, Descazeaud A, et al. EAU guidelines on the treatment and follow-up of non-neurogenic male lower urinary tract symptoms including benign prostatic obstruction. Eur Urol, 2013,64(1):118-140.
[2] 魏乔红,李涛,陈广瑜,等.经尿道前列腺分叶剜除术与电切术治疗大体积前列腺增生症的比较研究.微创泌尿外科杂志,2016,5(5):271-274.
[3] Yu Y, Lou G, Shen C, et al. Technical aspects of transurethral plasmakinetic enucleation and resection of the prostate for benign prostatic hyperplasia. Minim Invasive Ther Allied Technol, 2017,26(1):44-50.
[4] 范志强,刘中华,朱晓博,等.经尿道前列腺双极等离子剜除术治疗良性前列腺增生症的临床疗效分析.微创泌尿外科杂志,2016,5(3):158-162.
[5] Reich O, Gratzke C, Bachmann A, et al. Morbidity, mortality and early outcome of transurethral resection of the prostate: a prospectivemulticenter evaluation of 10,654 patients. J Urol, 2008,180(1):246-249.
[6] Wei Y, Xu N, Chen SH, et al. Bipolar transurethral enucleation and resection of the prostate versus bipolar resection of the prostate for prostates larger than 60 gr: A retrospective study at a single academic tertiary care center. Int Braz J Urol, 2016,42(4):747-756.
[7] Tracey JM, Warner JN. Transurethral Bipolar Enucleation of the Prostate Is an Effective Treatment Option for Men with Urinary Retention. Urology, 2016,87:166-171.
[8] Chen YB, Chen Q, Wang Z, et al. A prospective, randomized clinical trial comparing plasmakinetic resection of the prostate with holmium laser enucleation of the prostate based on a 2-year follow-up. J Urol, 2013,189(1):217-222.
[9] Shigemura K, Tanaka K, Yamamichi F, et al. Comparison of Predictive Factors for Postoperative Incontinence of Holmium Laser Enucleation of the Prostate by the Surgeons' Experience during Learning Curve. Int Neurourol J, 2016,20(1):59-68.
[10] Robert G, Cornu JN, Fourmarier M, et al. Multicentre prospective evaluation of the learning curve of holmium laser enucleation of the prostate (HoLEP). BJU Int, 2016,117(3):495-499.