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World Journal of Urology

Published in:

01-06-2009 | Original Article

Extraperitoneal laparoscopic adenomectomy for benign prostatic hyperplasia

Authors: Lin-Yu Zhou, Jun Xiao, Hao Chen, Yu-Ping Zhu, You-Wen Sun, Qiang Xuan

Published in: World Journal of Urology | Issue 3/2009

Abstract

Objectives

We assessed the feasibility of extraperitoneal laparoscopic prostatectomy in pilots in China.

Materials and methods

Extraperitoneal laparoscopic retropubic prostatectomy has been performed in 45 patients with prostatic weight more than 60 g between May 2005 and May 2008. The laparoscopic approach was standard in all cases as follows: creation of a preperitoneal workspace, haemostatic control of lateral venous vesicoprostatic pedicles, transversal anterior incision of the prostate capsule, prostatic adenomectomy and retrieval of the specimen.

Results

The average prostate resected weight was 78.2 ± 16.3 g. Mean operative time was 105.4 ± 26.5 min. Conversion to open prostatectomy was not required. The transfusion was essential in three cases. During a 6 months follow-up period for 40 cases, the mean score of IPSS decreased from 25.5 ± 2.4 to 6.2 ± 2.1, Q _max increased from 6.1 ± 2.8 to 18.7 ± 3.4 ml/s. None of the patients presented with urinary incontinence.

Conclusions

In our experience, laparoscopic extraperitoneal adenomectomy (Millin’s procedure) is feasible with minimal invasion and is a simple straightforward technique.

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Title: Extraperitoneal laparoscopic adenomectomy for benign prostatic hyperplasia
Authors: Lin-Yu Zhou
Jun Xiao
Hao Chen
Yu-Ping Zhu
You-Wen Sun
Qiang Xuan
Publication date: 01-06-2009
Publisher: Springer-Verlag
Published in: World Journal of Urology / Issue 3/2009
Print ISSN: 0724-4983
Electronic ISSN: 1433-8726
DOI: https://doi.org/10.1007/s00345-008-0359-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Extraperitoneal laparoscopic adenomectomy for benign prostatic hyperplasia

Abstract

Objectives

Materials and methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Materials and methods

Results

Conclusions

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