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Enucleation of the Prostate for the Treatment of Benign Prostatic Hyperplasia Using a 980 nm Diode Laser
Published on: May 5, 2020
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An Innovative Technique for Ejaculation-Sparing Prostatic Enucleation with Thulium:YAG Laser.
Roberto Migliari1, Fabrizio Mele1, Maurizio Barale1
1Department of Urology, Mauriziano Hospital, Turin, Italy.
Journal of Endourology
|September 24, 2023
Summary
This study shows a new laser prostate surgery technique preserves ejaculation in 92% of patients. The innovative procedure effectively treats urinary obstruction while maintaining sexual function.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Laser Technology
Background:
- Benign prostatic hyperplasia (BPH) often requires surgical intervention.
- Traditional prostatectomy techniques can lead to ejaculatory dysfunction.
- Preserving ejaculatory function is a key concern for patients undergoing BPH surgery.
Purpose of the Study:
- To evaluate a novel thulium laser prostate enucleation technique.
- To assess the short-term impact on ejaculatory preservation.
- To determine the efficacy in relieving urinary obstruction.
Main Methods:
- 100 patients underwent a thulium laser enucleation sparing the urethral plate.
- Validated questionnaires (IPSS, QoL, MSHQ-EJD) assessed symptoms and ejaculatory function pre- and post-surgery.
- Maximal flow rate and post-void residual volume were measured.
Main Results:
- Significant improvement in International Prostate Symptom Index (IPSS) scores (20 to 5).
- Marked improvement in maximal flow rate (8.5 to 21.2 mL/min).
- Ejaculatory function preserved in 92% of patients, with minimal impact on ejaculation quality.
Conclusions:
- This innovative thulium laser prostate enucleation technique effectively alleviates urinary obstruction.
- The procedure demonstrates a high rate of ejaculatory function preservation.
- Maintaining the ventral lissosphincter is crucial for preserving ejaculation.
