mTUEPA: Trans-Urethral Monopolar Enucleation of Prostatic Adenoma. Preliminary Report

To describe preliminary results of our monopolar Transurethral Enucleation of Prostatic Adenoma (mTUEPA).

A consecutive series of patient treated with mTUEPA, a retrograde enucleation of the prostatic adenoma performed by means of a standard monopolar resectoscope, were prospectively enrolled.

Symptoms, uroflometry parmeters and post voiding residual (PVR) were assessed at baseline and 1, 6 and 12 months post-operatively. Prostate volume (PV) was evaluated at baseline by means of transrectal ultrasound. Antiplatelet and anticoagulant drugs were stopped at least one week before the operation.

Forty-seven patients were enrolled. Mean preoperative prostate volume was 64.9±28.5 g. When assessed at baseline, the mean total IPSS was 15.2±3.9, peak flow rate (Qmax) was 8.4±2.9 ml/s and the post void residual (PVR) was 103.2±90.6 ml. Four weeks after surgery, patients reported a mean IPSS of 5.3±3. This LUTS relief was further maintained 6 and 12 months after surgery. A significant postoperative improvement in uroflowmetry parameters was described, being the 6 and 12 months mean Qmax 23.4±10.6 ml/s and 18.8±9.2 ml/s, respectively (p < 0.001). Overall, 14 postoperative complications were reported by 13/47 (27.6%) patients: most of them were minor complications (Clavien-Dindo Grade I-II) while 1 patient reported capsule perforation during surgery requiring interruption of the procedure and its further completion (CD IIIb).

mTUEPA is a safe and effective technique, merging the principles of laser enucleation and the advantages of mechanical enucleation with standard monopolar TURP equipment.

 

Urology. 2017 Jan 10 [Epub ahead of print]

Vito Pansadoro, Paolo Emiliozzi, Gianluca Del Vecchio, Marco Martini, Paolo Scarpone, Francesco Del Giudice, Domenico Veneziano, Aldo Brassetti, Christophe Assenmacher

Laparoscopic and Oncological Urology Centre, Fondazione Vincenzo Pansadoro, "Pio IX" Hospital, Rome, Italy.. Electronic address: ., Laparoscopic and Oncological Urology Centre, Fondazione Vincenzo Pansadoro, "Pio IX" Hospital, Rome, Italy.. Electronic address: ., Laparoscopic and Oncological Urology Centre, Fondazione Vincenzo Pansadoro, "Pio IX" Hospital, Rome, Italy.. Electronic address: ., Laparoscopic and Oncological Urology Centre, Fondazione Vincenzo Pansadoro, "Pio IX" Hospital, Rome, Italy.. Electronic address: ., Laparoscopic and Oncological Urology Centre, Fondazione Vincenzo Pansadoro, "Pio IX" Hospital, Rome, Italy.. Electronic address: ., "La Sapienza" University of Rome, Rome, Italy.. Electronic address: ., Department of Urology and Kidney Transplantation, O.O. Riuniti BMM, Reggio Calabria, Italy.. Electronic address: ., Department of Urology, Sant'Andrea Hospital, "La Sapienza" University of Rome, Rome, Italy.. Electronic address: ., Department of Urology, Cliniques de l'Europe, Brussels, Belgium. Electronic address: .

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