scholarly journals Laparoscopic Simple Prostatectomy

Prostatectomy ◽  
2019 ◽  
Author(s):  
Yusuf Ilker Comez
Keyword(s):  
Simple Prostatectomy

Laparoscopic simple prostatectomy: complications and functional results after five years of follow-up

2020 ◽  
Vol 72 (4) ◽  
Author(s):  
Matteo Manfredi ◽  
Cristian Fiori ◽  
Dario Peretti ◽  
Federico Piramide ◽  
Enrico Checcucci ◽  
...  
Keyword(s):  
Functional Results ◽  
Simple Prostatectomy

scholarly journals Prostatic Artery Embolization: An Alternative Treatment for Benign Prostatic Hyperplasia

2021 ◽  
Vol 5 (02) ◽  
pp. 091-098
Author(s):  
James F. Pike ◽  
William F. Abel ◽  
Tyler B. Seckel ◽  
Christine M.G. Schammel ◽  
William Flanagan ◽  
...  
Keyword(s):  
Prostate Volume ◽  
Medical Center ◽  
Specific Antigen ◽  
Outcome Data ◽  
Artery Embolization ◽  
Prostatic Artery Embolization ◽  
Optimal Care ◽  
International Prostatic Symptom Score ◽  
Simple Prostatectomy ◽  
Prostatic Artery

Abstract Purpose Prostatic artery embolization (PAE) has emerged as a minimally invasive alternative for patients with prostates >80 mL and has demonstrated lower morbidity rates. We sought to evaluate PAE at a single tertiary medical center. Methods A retrospective review of all patients who underwent PAE was completed. Demographic, clinicopathologic, procedure, and outcome data were collected to include international prostatic symptom score (IPSS) and quality of life (QoL) assessments. Results The pre-PAE mean prostate-specific antigen (PSA) was 8.4 ng/mL, mean prostate volume was 146.9 mL (9% >200 mL), and mean postvoid residual (PVR) was 208.2 mL (21.9% 200–300 mL). IPSS mean was 19.8 and QoL was “mostly dissatisfied.” Following PAE, mean PSA was reduced by 3.2 ng/mL (38.1%, p = 0.3014), the mean prostate volume reduction was 59.2 mL (40.3%, n = 19, p < 0.0001), and the average PVR reduction was 150.3 mL (72.2%, n = 27, p = 0.0002). Average IPSS score was also lower (11.9; 60.1%, n = 25, p < 0.0001) and QoL was reduced to “mostly satisfied” (p < 0.0001). Technical success was 100% with 24% minor morbidities. Conclusion PAE is a successful treatment for patients with BPH resulting in large prostates that are not good candidates for simple prostatectomy, providing optimal care with less operative and postoperative complications.

Robot-Assisted Simple Prostatectomy for Severe Benign Prostatic Hyperplasia

2011 ◽  
Vol 25 (4) ◽  
pp. 641-644 ◽  
Author(s):  
Douglas E. Sutherland ◽  
Deo S. Perez ◽  
D. Champ Weeks
Keyword(s):  
Benign Prostatic Hyperplasia ◽  
Prostatic Hyperplasia ◽  
Robot Assisted ◽  
Simple Prostatectomy

scholarly journals Improvement of lower urinary tract symptoms and sexual activity after open simple prostatectomy: Prospective analysis of 50 cases

2014 ◽  
Vol 86 (4) ◽  
pp. 353 ◽  
Author(s):  
Lorenzo Montesi ◽  
Luigi Quaresima ◽  
Marco Tiroli ◽  
Vito Lacetera ◽  
Ubaldo Cantoro ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Sexual Activity ◽  
Lower Urinary Tract Symptoms ◽  
Erectile Function ◽  
Lower Urinary Tract ◽  
Transrectal Ultrasound ◽  
Large Size ◽  
Urinary Tract Symptoms ◽  
Simple Prostatectomy ◽  
Lower Urinary

Objectives: To evaluate the improvement of Lower Urinary Tract Symptoms (LUTS) and Erectile Function (EF) evaluated before and after Open Simple Prostatectomy, focusing on which patients this procedure allows better outcomes in term of sexual activity. Material and methods: 50 men with large size benign prostatic hyperplasia (BHP) greater than 80 gr were prospectively evaluated before and 6 months after Open Simple Prostatectomy (Freyer procedure) between October 2012 to September 2013. Patients had a pre-operative transrectal ultrasound (TRUS) for volume evaluation and filled pre and post operative questionnaires for International Prostate Symptom Score (IPSS) and International Index of Erectile Function (IIEF-5) score. Results: Mean patients age was 71 years (D.S. 3,5), mean prostate volume results 103 ml (D.S. 23,7); regarding LUTS and EF, mean improvement of IPSS score was 15,3 (D.S. 4) and mean increase of IIEF-5 score was 3,4 (D.S.3). This study highlights a correlation between patients’ age and increase of IIEF-5 score; no correlation with prostate size was found. Conclusion: According to the EAU Guidelines 2014, large size BPH (over 80-100 mL) with LUTS refractory to medical management continue to have open prostatectomy as the treatment of choice. In our experience we found not only an reduction of LUTS after the procedure but also an improvement of erectile function; this improvement was related with patient’s age.

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