Management of large prostatic adenoma: Lasers versus bipolar transurethral resection of prostate

Transurethral resection of prostate (TURP) has long been the most commonly performed surgical procedure for the management of benign prostate enlargement (BPE), but has several associated limitations. Over the years, laser techniques have developed as major contenders as alternative therapies for BP...
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Gespeichert in:

Autor*in:	Narmada P Gupta [verfasserIn] Rishi Nayyar [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2013

Schlagwörter:	Benign prostate enlargement bipolar holmium laser enucleation of prostate laser photo-selective vaporization of prostate transurethral resection of prostate

Übergeordnetes Werk:	In: Indian Journal of Urology - Wolters Kluwer Medknow Publications, 2017, 29(2013), 3, Seite 225-235
Übergeordnetes Werk:	volume:29 ; year:2013 ; number:3 ; pages:225-235

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.4103/0970-1591.117288

Katalog-ID:	DOAJ060741732

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520			\|a Transurethral resection of prostate (TURP) has long been the most commonly performed surgical procedure for the management of benign prostate enlargement (BPE), but has several associated limitations. Over the years, laser techniques have developed as major contenders as alternative therapies for BPE. However, simultaneously, TURP has also flourished and with relatively recent development of resection in saline (bipolar TURP), the tussle between laser techniques and TURP has further gained momentum. A systematic search was performed on Medline using the various Medical subject headings related to the surgical management of BPE including TURP, bipolar, lasers, holmium laser enucleation of prostate (HoLEP), photo-selective vaporization of prostate (PVP), etc., All articles types including meta-analysis randomized controlled trials, review articles, guidelines from various urological associations, single center studies from 2002 onward were considered for review. Bipolar TURP, HoLEP, and PVP provide equivalent outcomes for large prostate adenoma (<60 g). For extremely large glands (<150 g), HoLEP is a very efficacious endoscopic alternative to open prostatectomy and has proven long-term results over more than a decade. Bipolar TURP and PVP are attractive with a minimal learning curves and equivalent short term durability. Surgical management of large prostate should be individualized based upon patient′s comorbidities and surgeon′s expertise.
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callnumber-first	R - Medicine
author	Narmada P Gupta
spellingShingle	Narmada P Gupta misc RC870-923 misc Benign prostate enlargement misc bipolar misc holmium laser enucleation of prostate misc laser misc photo-selective vaporization of prostate misc transurethral resection of prostate misc Diseases of the genitourinary system. Urology Management of large prostatic adenoma: Lasers versus bipolar transurethral resection of prostate
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topic_title	RC870-923 Management of large prostatic adenoma: Lasers versus bipolar transurethral resection of prostate Benign prostate enlargement bipolar holmium laser enucleation of prostate laser photo-selective vaporization of prostate transurethral resection of prostate
topic	misc RC870-923 misc Benign prostate enlargement misc bipolar misc holmium laser enucleation of prostate misc laser misc photo-selective vaporization of prostate misc transurethral resection of prostate misc Diseases of the genitourinary system. Urology
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title	Management of large prostatic adenoma: Lasers versus bipolar transurethral resection of prostate
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title_full	Management of large prostatic adenoma: Lasers versus bipolar transurethral resection of prostate
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title_sort	management of large prostatic adenoma: lasers versus bipolar transurethral resection of prostate
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title_auth	Management of large prostatic adenoma: Lasers versus bipolar transurethral resection of prostate
abstract	Transurethral resection of prostate (TURP) has long been the most commonly performed surgical procedure for the management of benign prostate enlargement (BPE), but has several associated limitations. Over the years, laser techniques have developed as major contenders as alternative therapies for BPE. However, simultaneously, TURP has also flourished and with relatively recent development of resection in saline (bipolar TURP), the tussle between laser techniques and TURP has further gained momentum. A systematic search was performed on Medline using the various Medical subject headings related to the surgical management of BPE including TURP, bipolar, lasers, holmium laser enucleation of prostate (HoLEP), photo-selective vaporization of prostate (PVP), etc., All articles types including meta-analysis randomized controlled trials, review articles, guidelines from various urological associations, single center studies from 2002 onward were considered for review. Bipolar TURP, HoLEP, and PVP provide equivalent outcomes for large prostate adenoma (<60 g). For extremely large glands (<150 g), HoLEP is a very efficacious endoscopic alternative to open prostatectomy and has proven long-term results over more than a decade. Bipolar TURP and PVP are attractive with a minimal learning curves and equivalent short term durability. Surgical management of large prostate should be individualized based upon patient′s comorbidities and surgeon′s expertise.
abstractGer	Transurethral resection of prostate (TURP) has long been the most commonly performed surgical procedure for the management of benign prostate enlargement (BPE), but has several associated limitations. Over the years, laser techniques have developed as major contenders as alternative therapies for BPE. However, simultaneously, TURP has also flourished and with relatively recent development of resection in saline (bipolar TURP), the tussle between laser techniques and TURP has further gained momentum. A systematic search was performed on Medline using the various Medical subject headings related to the surgical management of BPE including TURP, bipolar, lasers, holmium laser enucleation of prostate (HoLEP), photo-selective vaporization of prostate (PVP), etc., All articles types including meta-analysis randomized controlled trials, review articles, guidelines from various urological associations, single center studies from 2002 onward were considered for review. Bipolar TURP, HoLEP, and PVP provide equivalent outcomes for large prostate adenoma (<60 g). For extremely large glands (<150 g), HoLEP is a very efficacious endoscopic alternative to open prostatectomy and has proven long-term results over more than a decade. Bipolar TURP and PVP are attractive with a minimal learning curves and equivalent short term durability. Surgical management of large prostate should be individualized based upon patient′s comorbidities and surgeon′s expertise.
abstract_unstemmed	Transurethral resection of prostate (TURP) has long been the most commonly performed surgical procedure for the management of benign prostate enlargement (BPE), but has several associated limitations. Over the years, laser techniques have developed as major contenders as alternative therapies for BPE. However, simultaneously, TURP has also flourished and with relatively recent development of resection in saline (bipolar TURP), the tussle between laser techniques and TURP has further gained momentum. A systematic search was performed on Medline using the various Medical subject headings related to the surgical management of BPE including TURP, bipolar, lasers, holmium laser enucleation of prostate (HoLEP), photo-selective vaporization of prostate (PVP), etc., All articles types including meta-analysis randomized controlled trials, review articles, guidelines from various urological associations, single center studies from 2002 onward were considered for review. Bipolar TURP, HoLEP, and PVP provide equivalent outcomes for large prostate adenoma (<60 g). For extremely large glands (<150 g), HoLEP is a very efficacious endoscopic alternative to open prostatectomy and has proven long-term results over more than a decade. Bipolar TURP and PVP are attractive with a minimal learning curves and equivalent short term durability. Surgical management of large prostate should be individualized based upon patient′s comorbidities and surgeon′s expertise.
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title_short	Management of large prostatic adenoma: Lasers versus bipolar transurethral resection of prostate
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up_date	2024-07-03T16:45:30.231Z
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Management of large prostatic adenoma: Lasers versus bipolar transurethral resection of prostate

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