Editorial Comment on: Development of a Complete En-Bloc Technique with Direct Bladder Neck Incision: A Newly Modified Approach for Holmium Laser Enucleation of the Prostate by Ito et al. (From: Ito T, Tamura K, Otsuka A, et al. J Endourol 2019;33:835–840; DOI: 10.1089/end.2018.0773)

2019 ◽  
Vol 33 (10) ◽  
pp. 841-842
Author(s):  
Yasser A. Noureldin
2019 ◽  
Vol 33 (10) ◽  
pp. 835-840 ◽  
Author(s):  
Toshiki Ito ◽  
Keita Tamura ◽  
Atsushi Otsuka ◽  
Hitoshi Shinbo ◽  
Sanki Takada ◽  
...  

ASVIDE ◽  
2021 ◽  
Vol 8 ◽  
pp. 023-023
Author(s):  
Pu Li ◽  
Chengming Wang ◽  
Min Tang ◽  
Peng Han ◽  
Xiaoxin Meng

2020 ◽  
Author(s):  
Chun-Hsuan Lin ◽  
Ching-Chia Li ◽  
Wen-Jeng Wu ◽  
Sheng-Chen Wen

Abstract Background To evaluate preoperative predictors of enucleation time during en bloc no-touch holmium laser enucleation of the prostate (HoLEP) Methods We enrolled 135 patients with symptomatic benign prostatic hyperplasia (BPH) treated with en bloc no-touch HoLEP from July 2017 to March 2019 by a single surgeon. Preoperative, perioperative, and postoperative clinical variables were examined. Stepwise linear regression was performed to determine clinical variables associated with enucleation times. Result The average (range) enucleation time was 46.1 (12–220) minutes, and the overall operation time was 71 (18–250) minutes. History of anticoagulation, history of urinary tract infection (UTI), and increasing specimen weight were each significantly associated with increasing enucleation time. No category IV complications were recorded, and all complications were evenly distributed among the groups according to the HoLEP specimen weight. Conclusion En bloc no-touch HoLEP was found to be an efficient and reproducible surgical method for treating BPH. Prostatic gland size was significantly associated with increased enucleation times. Similarly, history of UTI and anticoagulation were correlated with increased operative time.


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