Cargando…
Does prior transurethral resection of prostate have a negative impact on the outcome of holmium laser enucleation of prostate? Results from a prospective comparative study
OBJECTIVES: To prospectively evaluate safety and efficacy of holmium laser enucleation of prostate (HoLEP) for surgical treatment of recurrent symptoms due to prostatomegaly after prior transurethral resection of prostate (TURP). MATERIALS AND METHODS: We prospectively evaluated 43 patients with a h...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9197008/ https://www.ncbi.nlm.nih.gov/pubmed/35711492 http://dx.doi.org/10.4103/ua.ua_106_21 |
_version_ | 1784727307701714944 |
---|---|
author | Khater, Usama Smith, Nicholas Anthony Katz, Jonathan E. Bhat, Abhishek Banerjee, Indraneel Shah, Rashmi H. Shah, Hemendra N. |
author_facet | Khater, Usama Smith, Nicholas Anthony Katz, Jonathan E. Bhat, Abhishek Banerjee, Indraneel Shah, Rashmi H. Shah, Hemendra N. |
author_sort | Khater, Usama |
collection | PubMed |
description | OBJECTIVES: To prospectively evaluate safety and efficacy of holmium laser enucleation of prostate (HoLEP) for surgical treatment of recurrent symptoms due to prostatomegaly after prior transurethral resection of prostate (TURP). MATERIALS AND METHODS: We prospectively evaluated 43 patients with a history of TURP who underwent HoLEP (study group). Patients in chronological order who underwent HoLEP without prior TURP were included in the control group. We hypothesized that prior TURP would increase technical difficulties, thereby leading to a reduction in procedure efficiency by 25%. Patients’ demographic, intraoperative, and postoperative data were compared, and statistical analysis was performed. RESULTS: Demographic data in both groups were comparable. The average interval between past TURP and HoLEP was 4.22 years. There was no difficulty in identifying the dissection plane in the study group and the difference in the procedure efficiency between the study and the control groups were statistically insignificant (0.75 ± 0.31 g/min-study group vs. 0.69 ± 0.36 g/min-control group; P = 0.665). The intraoperative parameters and postoperative outcomes were comparable in both groups. CONCLUSIONS: Prior TURP does not negatively impact the outcome of HoLEP in treating symptomatic recurrence for enlarged prostate after initial TURP. |
format | Online Article Text |
id | pubmed-9197008 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-91970082022-06-15 Does prior transurethral resection of prostate have a negative impact on the outcome of holmium laser enucleation of prostate? Results from a prospective comparative study Khater, Usama Smith, Nicholas Anthony Katz, Jonathan E. Bhat, Abhishek Banerjee, Indraneel Shah, Rashmi H. Shah, Hemendra N. Urol Ann Original Article OBJECTIVES: To prospectively evaluate safety and efficacy of holmium laser enucleation of prostate (HoLEP) for surgical treatment of recurrent symptoms due to prostatomegaly after prior transurethral resection of prostate (TURP). MATERIALS AND METHODS: We prospectively evaluated 43 patients with a history of TURP who underwent HoLEP (study group). Patients in chronological order who underwent HoLEP without prior TURP were included in the control group. We hypothesized that prior TURP would increase technical difficulties, thereby leading to a reduction in procedure efficiency by 25%. Patients’ demographic, intraoperative, and postoperative data were compared, and statistical analysis was performed. RESULTS: Demographic data in both groups were comparable. The average interval between past TURP and HoLEP was 4.22 years. There was no difficulty in identifying the dissection plane in the study group and the difference in the procedure efficiency between the study and the control groups were statistically insignificant (0.75 ± 0.31 g/min-study group vs. 0.69 ± 0.36 g/min-control group; P = 0.665). The intraoperative parameters and postoperative outcomes were comparable in both groups. CONCLUSIONS: Prior TURP does not negatively impact the outcome of HoLEP in treating symptomatic recurrence for enlarged prostate after initial TURP. Wolters Kluwer - Medknow 2022 2022-02-17 /pmc/articles/PMC9197008/ /pubmed/35711492 http://dx.doi.org/10.4103/ua.ua_106_21 Text en Copyright: © 2022 Urology Annals https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Khater, Usama Smith, Nicholas Anthony Katz, Jonathan E. Bhat, Abhishek Banerjee, Indraneel Shah, Rashmi H. Shah, Hemendra N. Does prior transurethral resection of prostate have a negative impact on the outcome of holmium laser enucleation of prostate? Results from a prospective comparative study |
title | Does prior transurethral resection of prostate have a negative impact on the outcome of holmium laser enucleation of prostate? Results from a prospective comparative study |
title_full | Does prior transurethral resection of prostate have a negative impact on the outcome of holmium laser enucleation of prostate? Results from a prospective comparative study |
title_fullStr | Does prior transurethral resection of prostate have a negative impact on the outcome of holmium laser enucleation of prostate? Results from a prospective comparative study |
title_full_unstemmed | Does prior transurethral resection of prostate have a negative impact on the outcome of holmium laser enucleation of prostate? Results from a prospective comparative study |
title_short | Does prior transurethral resection of prostate have a negative impact on the outcome of holmium laser enucleation of prostate? Results from a prospective comparative study |
title_sort | does prior transurethral resection of prostate have a negative impact on the outcome of holmium laser enucleation of prostate? results from a prospective comparative study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9197008/ https://www.ncbi.nlm.nih.gov/pubmed/35711492 http://dx.doi.org/10.4103/ua.ua_106_21 |
work_keys_str_mv | AT khaterusama doespriortransurethralresectionofprostatehaveanegativeimpactontheoutcomeofholmiumlaserenucleationofprostateresultsfromaprospectivecomparativestudy AT smithnicholasanthony doespriortransurethralresectionofprostatehaveanegativeimpactontheoutcomeofholmiumlaserenucleationofprostateresultsfromaprospectivecomparativestudy AT katzjonathane doespriortransurethralresectionofprostatehaveanegativeimpactontheoutcomeofholmiumlaserenucleationofprostateresultsfromaprospectivecomparativestudy AT bhatabhishek doespriortransurethralresectionofprostatehaveanegativeimpactontheoutcomeofholmiumlaserenucleationofprostateresultsfromaprospectivecomparativestudy AT banerjeeindraneel doespriortransurethralresectionofprostatehaveanegativeimpactontheoutcomeofholmiumlaserenucleationofprostateresultsfromaprospectivecomparativestudy AT shahrashmih doespriortransurethralresectionofprostatehaveanegativeimpactontheoutcomeofholmiumlaserenucleationofprostateresultsfromaprospectivecomparativestudy AT shahhemendran doespriortransurethralresectionofprostatehaveanegativeimpactontheoutcomeofholmiumlaserenucleationofprostateresultsfromaprospectivecomparativestudy |