Enucleation Techniques In Prostate Surgery

Abstract

Benign prostate hyperplasia (BPH) is a common  urologic disease  that lows the quality in men's life. Especially after the 4th decade of life the prevelance of BPH is increasing. If the medication is not enough  in the treatment  than  suitable surgical procedures must be  recommended to the patients. In present there is  different surgical techniques performing. The European Assocaiation of Urology guideline  recommends  Transurethal Resection of Prostate (TUR-P)  as a gold standart for men with prostate sizes of 30-80 ml. When the prostate size is over than 80 ml.  open prostatectomy  or  endoscopic  enucleation of prostate  such as holmium laser or bipolar enucleation are the first choices. But open prostatectomy has high perioperative and postoperative morbidity.  In this review our goal is eveluating the endoscopic enucleation techniques of prostate which begin to replace of open prostatectomy  in the treatment of BPH over 80 ml. 

Keywords

• Benign prostate hyperplasia
• enucleation
• prostate size

Prostat Cerrahisinde Enükleasyon Teknikleri

Abstract

Benign prostat hiperplazisi (BPH) erkeklerin hayat kalitesini azaltan ve sık görülen ürolojik bir hastalıktır. Özellikle hayatın 4. dekatından sonra görülme prevelansı artmaktadır.  Tedavide ilaçlardan yeterli yanıt alınamıyorsa mutlaka hastalara uygun cerrahi yöntemler önerilmelidir. Günümüzde çeşitli cerrahi teknikler uygulanmaktadır. Avrupa Üroloji Derneğinin kılavuzunda 30-80 ml arası prostat hacimlerinde altın standart cerrahi tedavi olarak  Transüretral Prostat Rezeksiyonu (TUR-P) önerilmektedir.  Prostat hacimleri 80 ml. üzerinde olan hastalar için ilk seçenek açık prostatektomi, holmiyum lazer  ve ya  bipolar enükleasyon gibi  endoskopik yöntemlerdir. Fakat açık prostatektominin yüksek oranda peri ve postoperatif morbiditeleri bulunmaktadır. Bu derlemenin amacı, BPH' nin cerrahi tedavisinde 80 ml üzeri prostatlarda uygulanan açık prostatektominin yerini almaya başlamış  enükleasyon tedavi şekillerini incelemektir.

Keywords

• Benign prostat hiperplazisi
• enükleasyon
• prostat hacmi

References

1. 1. Berry SJ, Coffey DS, Walsh PC, Ewing LL. The development of human benign prostatic hyperplasia with age. J Urol. Eylül 1984;132(3):474–9.
2. 2. Barry MJ. Epidemiology and natural history of benign prostatic hyperplasia. Urol Clin North Am. Ağustos 1990;17(3):495–507.
3. 3. Rassweiler J, Teber D, Kuntz R, Hofmann R. Complications of transurethral resection of the prostate (TURP)--incidence, management, and prevention. Eur Urol. Kasım 2006;50(5):969–979; discussion 980.
4. 4. Dołowy Ł, Krajewski W, Dembowski J, Zdrojowy R, Kołodziej A. The role of lasers in modern urology. Cent Eur J Urol. 2015;68(2):175–82.
5. 5. Kahokehr AA, Gilling PJ. Which laser works best for benign prostatic hyperplasia? Curr Urol Rep. Aralık 2013;14(6):614–9.
6. 6. Geavlete B, Stanescu F, Iacoboaie C, Geavlete P. Bipolar plasma enucleation of the prostate vs open prostatectomy in large benign prostatic hyperplasia cases - A medium term, prospective, randomized comparison. BJU Int. 07 Mart 2013;111.
7. 7. Montorsi F, Naspro R, Salonia A, Suardi N, Briganti A, Zanoni M, vd. Holmium laser enucleation versus transurethral resection of the prostate: results from a 2-center prospective randomized trial in patients with obstructive benign prostatic hyperplasia. J Urol. Mayıs 2008;179(5 Suppl):S87-90.
8. 8. Tan AHH, Gilling PJ. Holmium laser prostatectomy. BJU Int. Ekim 2003;92(6):527–30.

9. 9. Lerner LB, Rajender A. Laser prostate enucleation techniques. Can J Urol. Ekim 2015;22 Suppl 1:53–9.
10. 10. Tsarichenko DG, Simberdeev RR, Glybochko PV, Alyaev YG, Rapoport LM, Sukhanov RB, vd. [Monopolar transurethral enucleation of benign prostatic hyperplasia. Our initial experience]. Urol Mosc Russ 1999. Ağustos 2016;(4):70–5.
11. 11. Pansadoro V, Emiliozzi P, Del Vecchio G, Martini M, Scarpone P, Del Giudice F, vd. Monopolar Transurethral Enucleation of Prostatic Adenoma: Preliminary Report. Urology. Nisan 2017;102:252–7.
12. 12. Tefekli A, Muslumanoglu AY, Baykal M, Binbay M, Tas A, Altunrende F. A hybrid technique using bipolar energy in transurethral prostate surgery: a prospective, randomized comparison. J Urol. Ekim 2005;174(4 Pt 1):1339–43.
13. 13. Issa MM. Technological advances in transurethral resection of the prostate: bipolar versus monopolar TURP. J Endourol. Ağustos 2008;22(8):1587–95.
14. 14. Koca O, Keleş MO, Kaya C, Güneş M, Öztürk M, Karaman Mİ. Plasmakinetic vaporization versus transurethral resection of the prostate: Six-year results. Turk J Urol. Eylül 2014;40(3):134–7.
15. 15. Collins JW, MacDermott S, Bradbrook RA, Keeley FX, Timoney AG. A comparison of the effect of 1.5% glycine and 5% glucose irrigants on plasma serum physiology and the incidence of transurethral resection syndrome during prostate resection. BJU Int. 01 Ağustos 2005;96(3):368–72.
16. 16. Hochreiter WW, Thalmann GN, Burkhard FC, Studer UE. Holmium laser enucleation of the prostate combined with electrocautery resection: the mushroom technique. J Urol. Ekim 2002;168(4 Pt 1):1470–4.
17. 17. Giulianelli R, Gentile B, Albanesi L, Tariciotti P, Mirabile G. Bipolar Button Transurethral Enucleation of Prostate in Benign Prostate Hypertrophy Treatment: A New Surgical Technique. Urology. Ağustos 2015;86(2):407–13.
18. 18. Rao J-M, Xiao H-J, Ren Y-X, Ding P, He J, Yan Y-L, vd. Did prostate size affect the complication and outcome of plasmakinetic enucleation of the prostate? Int Urol Nephrol. Kasım 2014;46(11):2063–70.
19. 19. Hirasawa Y, Kato Y, Fujita K. Transurethral Enucleation with Bipolar for Benign Prostatic Hyperplasia: 2-Year Outcomes and the Learning Curve of a Single Surgeon’s Experience of 603 Consecutive Patients. J Endourol. Temmuz 2017;31(7):679–85.
20. 20. Giulianelli R, Gentile BC, Mirabile G, Albanesi L, Tariciotti P, Rizzo G, vd. Bipolar Plasma Enucleation of the Prostate (B-TUEP) in Benign Prostate Hypertrophy Treatment: 3-Year Results. Urology. Eylül 2017;107:190–5.
21. 21. Lin Y, Wu X, Xu A, Ren R, Zhou X, Wen Y, vd. Transurethral enucleation of the prostate versus transvesical open prostatectomy for large benign prostatic hyperplasia: a systematic review and meta-analysis of randomized controlled trials. World J Urol. Eylül 2016;34(9):1207–19.
22. 22. Palaniappan S, Kuo TLC, Cheng CWS, Foo KT. Early outcome of transurethral enucleation and resection of the prostate versus transurethral resection of the prostate. Singapore Med J. Aralık 2016;57(12):676–80.
23. 23. Wei Y, Xu N, Chen S-H, Li X-D, Zheng Q-S, Lin Y-Z, vd. Bipolar transurethral enucleation and resection of the prostate versus bipolar resection of the prostate for prostates larger than 60gr: A retrospective study at a single academic tertiary care center. Int Braz J Urol Off J Braz Soc Urol. 2016;42(4):747–56.
24. 24. Kawamura Y, Tokunaga M, Hoshino H, Matsushita K, Terachi T. Clinical Outcomes of Transurethral Enucleation with Bipolar for Benign Prostatic Hypertrophy. Tokai J Exp Clin Med. 20 Aralık 2015;40(4):132–6.
25. 25. Zarrabi A, Gross AJ. The evolution of lasers in urology. Ther Adv Urol. Nisan 2011;3(2):81–9.
26. 26. Gilling PJ, Cass CB, Cresswell MD, Fraundorfer MR. Holmium laser resection of the prostate: preliminary results of a new method for the treatment of benign prostatic hyperplasia. Urology. Ocak 1996;47(1):48–51.
27. 27. Kuntz RM. Current Role of Lasers in the Treatment of Benign Prostatic Hyperplasia (BPH). Eur Urol. 01 Haziran 2006;49(6):961–9.
28. 28. Kuntz RM, Lehrich K. Transurethral Holmium Laser Enucleation Versus Transvesical Open Enucleation for Prostate Adenoma Greater Than 100 gm.: A Randomized Prospective Trial of 120 Patients. J Urol. 01 Ekim 2002;168(4):1465–9.
29. 29. Wilson LC, Gilling PJ, Williams A, Kennett KM, Frampton CM, Westenberg AM, vd. A Randomised Trial Comparing Holmium Laser Enucleation Versus Transurethral Resection in the Treatment of Prostates Larger Than 40Grams: Results at 2 Years. Eur Urol. Eylül 2006;50(3):569–73.
30. 30. Montorsi F, Naspro R, Salonia A, Suardi N, Briganti A, Zanoni M, vd. HOLMIUM LASER ENUCLEATION VERSUS TRANSURETHRAL RESECTION OF THE PROSTATE: RESULTS FROM A 2-CENTER, PROSPECTIVE, RANDOMIZED TRIAL IN PATIENTS WITH OBSTRUCTIVE BENIGN PROSTATIC HYPERPLASIA. J Urol. 01 Kasım 2004;172(5):1926–9.
31. 31. Barboza LED, Malafaia O, Slongo LE, Meyer F, Nassif PAN, Tabushi FI, vd. Holmium Laser enucleation of the prostate (HoLEP) versus Transurethral Resection of the Prostate (TURP). Rev Colégio Bras Cir. Haziran 2015;42(3):165–70.
32. 32. Ahyai SA, Lehrich K, Kuntz RM. Holmium Laser Enucleation versus Transurethral Resection of the Prostate: 3-Year Follow-Up Results of a Randomized Clinical Trial. Eur Urol. 01 Kasım 2007;52(5):1456–64.
33. 33. Tan A, Liao C, Mo Z, Cao Y. Meta-analysis of holmium laser enucleation versus transurethral resection of the prostate for symptomatic prostatic obstruction. Br J Surg. Ekim 2007;94(10):1201–8.
34. 34. Yin L, Teng J, Huang C-J, Zhang X, Xu D. Holmium laser enucleation of the prostate versus transurethral resection of the prostate: a systematic review and meta-analysis of randomized controlled trials. J Endourol. Mayıs 2013;27(5):604–11.
35. 35. Li S, Zeng X-T, Ruan X-L, Weng H, Liu T-Z, Wang X, vd. Holmium Laser Enucleation versus Transurethral Resection in Patients with Benign Prostate Hyperplasia: An Updated Systematic Review with Meta-Analysis and Trial Sequential Analysis. PLOS ONE. 08 Temmuz 2014;9(7):e101615.
36. 36. McAllister WJ, Gilling PJ. Vaporization of the prostate. Curr Opin Urol. Ocak 2004;14(1):31–4.
37. 37. Kuntzman RS, Malek RS, Barrett DM. High-power potassium titanyl phosphate laser vaporization prostatectomy. Mayo Clin Proc. Ağustos 1998;73(8):798–801 38. Barber NJ, Muir GH. High-power KTP laser prostatectomy: the new challenge to transurethral resection of the prostate. Curr Opin Urol. Ocak 2004;14(1):21–5.
38. 39. Gomez Sancha F, Rivera VC, Georgiev G, Botsevski A, Kotsev J, Herrmann T. Common trend: move to enucleation—Is there a case for GreenLight enucleation? Development and description of the technique. World J Urol. 2015;33(4):539–47.
39. 40. Wosnitzer MS, Rutman MP. KTP/LBO laser vaporization of the prostate. Urol Clin North Am. Kasım 2009;36(4):471–483, vi.
40. 41. Zorn KC, Liberman D. GreenLight 180W XPS photovaporization of the prostate: how I do it. Can J Urol. Ekim 2011;18(5):5918–26.
41. 42. Bastard C, Zorn K, Peyronnet B, Hueber PA, Pradère B, Rouprêt M, vd. Assessment of Learning Curves for 180-W GreenLight XPS Photoselective Vaporisation of the Prostate: A Multicentre Study. Eur Urol Focus. 23 Eylül 2017;
42. 43. Brunken C, Seitz C, Tauber S, Schmidt R. Transurethral GreenLight laser enucleation of the prostate--a feasibility study. J Endourol. Temmuz 2011;25(7):1199–201.
43. 44. Misrai V, Kerever S, Phe V, Zorn KC, Peyronnet B, Rouprêt M. Direct Comparison of GreenLight Laser XPS Photoselective Prostate Vaporization and GreenLight Laser En Bloc Enucleation of the Prostate in Enlarged Glands Greater than 80 ml: a Study of 120 Patients. J Urol. Nisan 2016;195(4 Pt 1):1027–32.
44. 45. Elshal AM, Elkoushy MA, El-Nahas AR, Shoma AM, Nabeeh A, Carrier S, vd. GreenLightTM laser (XPS) photoselective vapo-enucleation versus holmium laser enucleation of the prostate for the treatment of symptomatic benign prostatic hyperplasia: a randomized controlled study. J Urol. Mart 2015;193(3):927–34.
45. 46. Peyronnet B, Robert G, Comat V, Rouprêt M, Gomez-Sancha F, Cornu J-N, vd. Learning curves and perioperative outcomes after endoscopic enucleation of the prostate: a comparison between GreenLight 532-nm and holmium lasers. World J Urol. Haziran 2017;35(6):973–83.
46. 47. Mu. Bipolar transurethral enucleation of prostate versus photoselective vaporization for symptomatic benign prostatic hyperplasia (>70 ml) [Internet]. [kaynak 19 Ekim 2017]. Available at: http://www.ajandrology.com/article.asp?issn=1008-682X;year=2017;volume=19;issue=5;spage=608;epage=612;aulast=Mu
47. 48. Xia S, Zhang Y, Lu J, Sun X, Zhang J, Zhu Y, vd. [Thulium laser resection of prostate-tangerine technique in treatment of benign prostate hyperplasia]. Zhonghua Yi Xue Za Zhi. 30 Kasım 2005;85(45):3225–8.
48. 49. Bach T, Xia SJ, Yang Y, Mattioli S, Watson GM, Gross AJ, vd. Thulium: YAG 2 mum cw laser prostatectomy: where do we stand? World J Urol. Nisan 2010;28(2):163–8.
49. 50. Sener TE, Butticè S, Macchione L, Netsch C, Tanidir Y, Dragos L, vd. Thulium laser vaporesection of the prostate: Can we operate without interrupting oral antiplatelet/anticoagulant therapy? Investig Clin Urol. Mayıs 2017;58(3):192–9.
50. 51. Iacono F, Prezioso D, Di Lauro G, Romeo G, Ruffo A, Illiano E, vd. Efficacy and safety profile of a novel technique, ThuLEP (Thulium laser enucleation of the prostate) for the treatment of benign prostate hypertrophy. Our experience on 148 patients. BMC Surg. 2012;12 Suppl 1:S21.
51. 52. Zhang F, Shao Q, Herrmann TRW, Tian Y, Zhang Y. Thulium laser versus holmium laser transurethral enucleation of the prostate: 18-month follow-up data of a single center. Urology. Nisan 2012;79(4):869–74.
52. 53. Kyriazis I, Świniarski PP, Jutzi S, Wolters M, Netsch C, Burchardt M, vd. Transurethral anatomical enucleation of the prostate with Tm:YAG support (ThuLEP): review of the literature on a novel surgical approach in the management of benign prostatic enlargement. World J Urol. Nisan 2015;33(4):525–30.
53. 54. Feng L, Zhang D, Tian Y, Song J. Thulium Laser Enucleation Versus Plasmakinetic Enucleation of the Prostate: A Randomized Trial of a Single Center. J Endourol. Haziran 2016;30(6):665–70.
54. 55. Netsch C, Becker B, Tiburtius C, Moritz C, Becci AV, Herrmann TRW, vd. A prospective, randomized trial comparing thulium vapoenucleation with holmium laser enucleation of the prostate for the treatment of symptomatic benign prostatic obstruction: perioperative safety and efficacy. World J Urol. 11 Temmuz 2017;
55. 56. Enikeev DV, Glybochko PV, Alyaev YG, Rapoport LM, Sorokin NI, Enikeev ME, vd. [Laser enucleation of the prostate (HOLEP and THULEP): a comparative effectiveness analysis in treating recurrent prostatic hyperplasia]. Urol Mosc Russ 1999. Eylül 2017;(4):50–4.
56. 57. Gross AJ, Orywal AK, Becker B, Netsch C. Five-year outcomes of thulium vapoenucleation of the prostate for symptomatic benign prostatic obstruction. World J Urol. Ekim 2017;35(10):1585–93.
57. 58. Chung JS, Park SH, Oh CK, Kim SC, Kim TS, Kang PM, vd. Longitudinal changes in erectile function after thulium:YAG prostatectomy for the treatment of benign prostatic obstruction: a 1-year follow-up study. Lasers Med Sci. 06 Temmuz 2017;
58. 59. Rausch S, Heider T, Bedke J, Kruck S, Schwentner C, Fischer K, vd. Analysis of early morbidity and functional outcome of thulium: yttrium-aluminum-garnet laser enucleation for benign prostate enlargement: patient age and prostate size determine adverse surgical outcome. Urology. Ocak 2015;85(1):182–8.
59. 60. Cetinkaya M, Onem K, Rifaioglu MM, Yalcin V. 980-Nm Diode Laser Vaporization versus Transurethral Resection of the Prostate for Benign Prostatic Hyperplasia: Randomized Controlled Study. Urol J. 14 Kasım 2015;12(5):2355–61.
60. 61. Buisan O, Saladie JM, Ruiz JM, Bernal S, Bayona S, Ibarz L. Diode laser enucleation of the prostate (Dilep): technique and initial results. Actas Urol Esp Engl Ed. 01 Ocak 2011;35(1):37–41.
61. 62. Yang SS-D, Hsieh C-H, Chiang I-N, Lin C-D, Chang S-J. Prostate Volume Did Not Affect Voiding Function Improvements in Diode Laser Enucleation of the Prostate. J Urol. 01 Mart 2013;189(3):993–8.
62. 63. Wu G, Hong Z, Li C, Bian C, Huang S, Wu D. A comparative study of diode laser and plasmakinetic in transurethral enucleation of the prostate for treating large volume benign prostatic hyperplasia: a randomized clinical trial with 12-month follow-up. Lasers Med Sci. Mayıs 2016;31(4):599–604.