Purpose: To compare surgery outcomes and safety of button bipolar enucleation of the prostate vs laparoscopic simple prostatectomy in patients with large prostates (> 80 g) in a two-center cohort study. Methods: All patients with lower urinary tract symptoms due to benign prostatic enlargement (Prostate volume > 80 cc) undergoing button bipolar enucleation of the prostate (BTUEP) or laparoscopic simple prostatectomy (LSP) in two centers were enrolled. Data on clinical history, physical examination, urinary symptoms, uroflowmetry and prostate volume were collected at 0, 1, 3 6, 12, 24 and 36 months. Early and long-term complications were recorded. Results: Overall, 296 patients were enrolled. Out of them, 167/296 (56%) performed a LSP and 129/296 (44%) performed a BTUEP. In terms of efficacy both procedures showed durable results at three years with a reintervention rate of 8% in the LSP group and of 5% in the BTUEP group. In terms of safety, BTUEP and LSP presented similar safety profiles with a 9% of transfusion rate and no major complications. Conclusion: LSP and BTUEP are safe and effective in treating large-volume adenomas with durable results at three years when performed in experienced centers.

Laparoscopic simple prostatectomy vs bipolar plasma enucleation of the prostate in large benign prostatic hyperplasia. a two-center 3-year comparison / Lombardo, Riccardo; Zarraonandia Andraca, Anton; Plaza Alonso, Cristina; González-Dacal, Juan Andres; Rodríguez Núñez, Higinio; Barreiro Mallo, Aaron; Gentile, Barbara Cristina; Tema, Giorgia; Albanesi, Luca; Mavilla, Luca; Baldassarri, Valeria; De Nunzio, Cosimo; Tubaro, Andrea; Ruibal Moldes, Manuel; Giulianelli, Roberto. - In: WORLD JOURNAL OF UROLOGY. - ISSN 1433-8726. - 39:7(2021), pp. 2613-2619. [10.1007/s00345-020-03512-5]

Laparoscopic simple prostatectomy vs bipolar plasma enucleation of the prostate in large benign prostatic hyperplasia. a two-center 3-year comparison

Lombardo, Riccardo;Tema, Giorgia;Baldassarri, Valeria
;
De Nunzio, Cosimo;Tubaro, Andrea;
2021

Abstract

Purpose: To compare surgery outcomes and safety of button bipolar enucleation of the prostate vs laparoscopic simple prostatectomy in patients with large prostates (> 80 g) in a two-center cohort study. Methods: All patients with lower urinary tract symptoms due to benign prostatic enlargement (Prostate volume > 80 cc) undergoing button bipolar enucleation of the prostate (BTUEP) or laparoscopic simple prostatectomy (LSP) in two centers were enrolled. Data on clinical history, physical examination, urinary symptoms, uroflowmetry and prostate volume were collected at 0, 1, 3 6, 12, 24 and 36 months. Early and long-term complications were recorded. Results: Overall, 296 patients were enrolled. Out of them, 167/296 (56%) performed a LSP and 129/296 (44%) performed a BTUEP. In terms of efficacy both procedures showed durable results at three years with a reintervention rate of 8% in the LSP group and of 5% in the BTUEP group. In terms of safety, BTUEP and LSP presented similar safety profiles with a 9% of transfusion rate and no major complications. Conclusion: LSP and BTUEP are safe and effective in treating large-volume adenomas with durable results at three years when performed in experienced centers.
2021
bph; btuep; luts; laparoscopic simple prostatectomy; prostatic disease
01 Pubblicazione su rivista::01a Articolo in rivista
Laparoscopic simple prostatectomy vs bipolar plasma enucleation of the prostate in large benign prostatic hyperplasia. a two-center 3-year comparison / Lombardo, Riccardo; Zarraonandia Andraca, Anton; Plaza Alonso, Cristina; González-Dacal, Juan Andres; Rodríguez Núñez, Higinio; Barreiro Mallo, Aaron; Gentile, Barbara Cristina; Tema, Giorgia; Albanesi, Luca; Mavilla, Luca; Baldassarri, Valeria; De Nunzio, Cosimo; Tubaro, Andrea; Ruibal Moldes, Manuel; Giulianelli, Roberto. - In: WORLD JOURNAL OF UROLOGY. - ISSN 1433-8726. - 39:7(2021), pp. 2613-2619. [10.1007/s00345-020-03512-5]
File allegati a questo prodotto
File Dimensione Formato  
Lombardo_Laparoscopic-simple-prostatectomy_2021.pdf

accesso aperto

Tipologia: Versione editoriale (versione pubblicata con il layout dell'editore)
Licenza: Creative commons
Dimensione 382.29 kB
Formato Adobe PDF
382.29 kB Adobe PDF

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1670064
Citazioni
  • ???jsp.display-item.citation.pmc??? 1
  • Scopus 9
  • ???jsp.display-item.citation.isi??? 5
social impact