Anterior fibromuscular stroma-preserved endoscopic enucleation of the prostate: a precision anatomical approach.
World J Urol
; 41(8): 2127-2132, 2023 Aug.
Article
en En
| MEDLINE
| ID: mdl-36585497
ABSTRACT
BACKGROUND:
Benign prostate obstruction (BOO) is becoming increasingly important in this aging society. Some urge/stress urinary incontinence (UUI/SUI) still occurs after endoscopic enucleation of the prostate (EEP). It remains unclear how post-EEP incontinence can be avoided. Currently, early apical release to ameliorate the traction of the external sphincter is the best technique for incontinence prevention.OBJECTIVE:
To describe our surgical technique of anterior fibromuscular stroma (AFS)-preserved EEP for BOO. DESIGN, SETTING, ANDPARTICIPANTS:
The medical records of 60 consecutive patients who underwent AFS-preserved EEP for BOO in our center from September 2019 to December 2019 were retrospectively reviewed. SURGICAL PROCEDURE AFS-preserved EEP starts at the 12 o'clock position of the urethra, and the junction between the AFS and transitional zone (T-zone) was identified. The AFS and T-zone were separated first to protect the AFS in the initial operative procedure. Then, following the usual enucleation procedure, AFS-preserved EEP could be achieved. MEASUREMENTS Postoperative prostate-specific antigen (PSA), testosterone, urethral stricture, and voiding status, such as incontinence, uroflow, and postvoiding residual urine were assessed. RESULTS ANDLIMITATIONS:
The data show that AFS-preserved EEP could achieve similar surgical outcomes as other early apical release approaches.CONCLUSIONS:
The preserved AFS provides a nice landmark at the 12 o'clock position during EEP.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Hiperplasia Prostática
/
Incontinencia Urinaria
/
Resección Transuretral de la Próstata
/
Terapia por Láser
Límite:
Humans
/
Male
Idioma:
En
Revista:
World J Urol
Año:
2023
Tipo del documento:
Article
País de afiliación:
Taiwán