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01-12-2024 | Letter to the Editor

Navigating the indistinct plane: emphasizing the role of anterior fibromuscular stroma in HoLEP

Authors: Yu-Hsiang Lin, Han-Yu Tsai, Yu-Ting Chen

Published in: World Journal of Urology | Issue 1/2024

Excerpt

I write in response to the intriguing study by Liu et al. [1], published in the World Journal of Urology, which focused on identifying predictors of the indistinct plane (IP) in patients undergoing Holmium Laser Enucleation of the Prostate (HoLEP). This pivotal research, involving a review of data from 208 patients, underscored prostatic volume (PV) and prior biopsy as significant predictors of capsule plane status during HoLEP. A crucial finding of their study is the determination of a PV threshold of less than 54 ml, significantly increasing the likelihood of encountering an IP, a finding derived from a meticulous analysis involving the area under the receiver operating characteristic curve. …

Liu K, Zhao X, Xiao R, Zhao L, Xiao C, Zhang S, Ma L (2024) Factors predicting indistinct plane of surgical capsule in patients underwent HoLEP procedures. World J Urol. 42(1):26. https://doi.org/10.1007/s00345-023-04736-xCrossRefPubMed

Chunxiao L, Shaobo Z, Hulin L, Kai X (2010) Transurethral enucleation and resection of prostate in patients with benign prostatic hyperplasia by plasma kinetics. J Urol. 184(6):2440–2445. https://doi.org/10.1016/j.juro.2010.08.037CrossRef

de Figueiredo FCA, Teloken PE (2022) Minimally invasive laser enucleation of the prostate (MiLEP): slim (22Ch) and ultra slim (18.5Ch) HoLEP. Urol Video J. https://doi.org/10.1016/j.urolvj.2022.100146CrossRef

Gravas S, Gacci M, Gratzke C, Herrmann TRW, Karavitakis M, Kyriazis I et al (2023) Summary paper on the 2023 European association of urology guidelines on the management of non-neurogenic male lower urinary tract symptoms. Eur Urol. https://doi.org/10.1016/j.eururo.2023.04.008CrossRefPubMed

Sandhu JS, Bixler BR, Dahm P, Goueli R, Kirkby E, Stoffel JT, Wilt TJ (2024) Management of lower urinary tract symptoms attributed to Benign Prostatic Hyperplasia (BPH): AUA guideline amendment 2023. J Urol. 211(1):11–9. https://doi.org/10.1097/JU.0000000000003698CrossRefPubMed

Lin Y-H, Chang S-Y, Tsao S-H, Hou C-P, Chen C-L, Lin W-C et al (2022) Anterior fibromuscular stroma-preserved endoscopic enucleation of the prostate: a precision anatomical approach. World J Urol. 41(8):2127–2132CrossRefPubMed

Chen ME, Johnston DA, Tang K, Babaian RJ, Troncoso P (2000) Detailed mapping of prostate carcinoma foci. Cancer 89(8):1800–1809. https://doi.org/10.1002/1097-0142(20001015)89:8%3c1800::AID-CNCR21%3e3.0.CO;2-DCrossRefPubMed

Ukimura O, Iwata T, Ushijima S, Suzuki K, Honjo H, Okihara K et al (2004) Possible contribution of prostatic anterior fibromuscular stroma to age-related urinary disturbance in reference to pressure-flow study. Ultrasound Med Biol. 30(5):575–81. https://doi.org/10.1016/j.ultrasmedbio.2004.02.005CrossRefPubMed

Lin Y-H, Tsui K-H, Juang H-H (2023) Anterior fibromuscular stroma: the possible role for transient incontinence after endoscopic enucleation of prostate. Investig Clin Urol 64(5):512–513. https://doi.org/10.4111/icu.20230207CrossRefPubMedPubMedCentral

10.

Lin Y-H, Juang H-H (2023) Reevaluating ‘Top-Down’ HoLEP: the case for anterior fibromuscular stroma as a surgical landmark. Prostate Cancer Prostatic Dis. https://doi.org/10.1038/s41391-023-00768-xCrossRefPubMedPubMedCentral

Title: Navigating the indistinct plane: emphasizing the role of anterior fibromuscular stroma in HoLEP
Authors: Yu-Hsiang Lin
Han-Yu Tsai
Yu-Ting Chen
Publication date: 01-12-2024
Publisher: Springer Berlin Heidelberg
Published in: World Journal of Urology / Issue 1/2024
Print ISSN: 0724-4983
Electronic ISSN: 1433-8726
DOI: https://doi.org/10.1007/s00345-024-04848-y

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Navigating the indistinct plane: emphasizing the role of anterior fibromuscular stroma in HoLEP

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