Enucleation Techniques In Prostate Surgery

Öz

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. 

Anahtar Kelimeler

• Benign prostate hyperplasia
• enucleation
• prostate size

Prostat Cerrahisinde Enükleasyon Teknikleri

Öz

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.

Anahtar Kelimeler

• Benign prostat hiperplazisi
• enükleasyon
• prostat hacmi

Kaynakça

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