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World Journal of Urology

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01-08-2012 | Original Article

Single-port transvesical enucleation of the prostate for benign prostatic hyperplasia with severe intravesical prostatic protrusion

Authors: Joo Yong Lee, June Hyun Han, Hong Sang Moon, Tag Keun Yoo, Hong Yong Choi, Seung Wook Lee

Published in: World Journal of Urology | Issue 4/2012

Abstract

Objectives

To introduce the surgical techniques of a single-port transvesical enucleation of the prostate (STEP) for enlarged prostates with severe intravesical prostatic protrusion (IPP) presenting with lower urinary tract symptoms (LUTS).

Patients and Methods

Our study included 7 patients with prostates larger than 80 mL and with severe IPP who underwent STEP. All the procedures were performed using a home-made single-port device through a 3-cm midline incision at the level three fingerbreadths above the symphysis pubis. Rigid laparoscopic instruments and Harmonic Scalpels^® were used to enucleate the large adenoma of the prostate.

Results

All the procedures were completed satisfactorily, with no intra and early postoperative complications. The mean resected prostatic weight was 54.14 ± 8.38 g, and the mean operative time was 191.86 ± 40.88 min. The mean time for catheterization was 5.29 ± 1.80 days. The postoperative 3-month international prostate symptoms score (IPSS) and maximal flow rate (Qmax) were improved following STEP (IPSS; 23.57 ± 2.15 vs. 11.43 ± 2.44, Qmax; 17.14 ± 3.44 mL/s vs. 6.71 ± 2.29 mL/s).

Conclusions

Laparoendoscopic single-site surgery (LESS) and enucleation of the prostate with rigid laparoscopic instruments might be difficult but is feasible. STEP may be a new treatment option for use in open prostatectomies for enlarged prostates with severe IPP in carefully selected patients.

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Title: Single-port transvesical enucleation of the prostate for benign prostatic hyperplasia with severe intravesical prostatic protrusion
Authors: Joo Yong Lee
June Hyun Han
Hong Sang Moon
Tag Keun Yoo
Hong Yong Choi
Seung Wook Lee
Publication date: 01-08-2012
Publisher: Springer-Verlag
Published in: World Journal of Urology / Issue 4/2012
Print ISSN: 0724-4983
Electronic ISSN: 1433-8726
DOI: https://doi.org/10.1007/s00345-011-0758-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Single-port transvesical enucleation of the prostate for benign prostatic hyperplasia with severe intravesical prostatic protrusion

Abstract

Objectives

Patients and Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Patients and Methods

Results

Conclusions

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