Endoüroloji Bülteni

Yazarlar: Eymen GAZEL, Mehmet YILMAZ, Halil Çağrı AYBAL, Engin KAYA, Serdar YALÇIN, Sercan YILMAZ, Onur AÇIKGÖZ, Lütfi TUNÇ

Konular:Üroloji ve Nefroloji

Anahtar Kelimeler:ThuLEP,Prostate,Laser,Thulium,Turkey

Özet: Intoduction: Since 1998, after Gilling described Holmium Laser Enucleation of the Prostate (HoLEP) for the first time, laser using in prostate surgery has spread. Thulium laser enucleation of the prostate (ThuLEP) is also applied in endoscopic surgeries of the prostate. Thulium laser device is currently used in a limited number of centres in Turkey. In the present study, we aimed to contribute to the literature with the data of the cases carried out in our centre where the first case of ThuLEP was performed in Turkey. Material and Methods: The data of 60 patients who underwent Thulep surgery between July 2018 and September 2019 were used in the retrospectively designed study. Perioperative datas such as Enucleation time (ET) (min), morcellation time (MT) (min), total operation time (OT-total) (min), enucleation efficiency (EE) (g/min) and morcellation efficiency (ME) (g/min), enucleated tissue weight (RTW) (g), enucleated tissue percentage (PWR), intraoperative and postoperative complications recorded. Parameters such as Qmax, Qave, Time to Qmax, Voiding Time (VT), IPSS, QoL data and postoperative continence status were compared postoperative 1st month and 6th month follow up. Results: Statistically significant improvement was observed in all parameters showing functional results after the surgery (p<0.001). Regarding the continence status of patients, SUI, UUI and PMR were observed at 5%, 6.64% and 9.96%, respectively. These rates were observed to regress at the 1st month follow-up of patients. No SUI, UUI, and PMR were observed at the 6th month follow-ups of any patients. Conclusions: The present study is the first ThuLEP series reported from Turkey. We believe that prospective randomized studies about ThuLEP with larger series would be a contribution to the literature.

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