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Investig Clin Urol 2021 May;62(3):298-304

Department of Urology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.

Purpose: To evaluate the efficacy of holmium laser enucleation of the prostate (HoLEP) in patients with a small prostate volume (≤30 mL).

Materials And Methods: We retrospectively evaluated 1,135 patients who underwent HoLEP at two institutions between July 2007 and March 2020. Patients who were not evaluated for the International Prostate Symptom Score (IPSS) before or after HoLEP were excluded. Read More

BMJ Open 2021 May 3;11(5):e046973. Epub 2021 May 3.

Department of Urology, School of Medicine, University of St. Gallen, St Gallen, Switzerland.

Introduction: A novel method for the surgical treatment of benign prostatic hyperplasia (BPH) called Aquablation has become commercially available. Previous studies have been able to show similar functional results when compared with transurethral resection of the prostate and a high efficacy has been demonstrated when this approach is applied to patients with a prostate size of 80-150 cm.Holmium laser enucleation of the prostate (HoLEP) is a well-established procedure in the surgical treatment of BPH in prostate glands larger than 30 mL and a first-line therapy in glands over 80 mL. Read More

Prog Urol 2021 Apr 30. Epub 2021 Apr 30.

Service d'urologie, hôpitaux civils de Colmar, 39, avenue de la Liberté 68024 Colmar, France.

Introduction: Greenlight XPS-180W® (AMS, San José, USA) photoselective vaporisation of the prostate (PVP) is considered as an alternative to transurethral resection of the prostate. The objective of this study was to assess the effect of energy density applied on adenoma during PVP treatment for benign prostate hyperplasia (BPH) on postoperative outcomes.

Methods: A single-centre retrospective study has been conducted in the department of Urology of Colmar Hospital, in patients with symptomatic BPH, treated by PVP, between January 2016 and January 2019. Read More

Urology 2021 Apr 29. Epub 2021 Apr 29.

Department of Urology, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea. Electronic address:

Objective: To investigate and compare the postoperative efficacy and complications of the transurethral resection of prostate (TURP) and holmium laser enucleation (HoLEP) using the nationwide insurance database of Korea.

Methods: We created a cohort of benign prostatic hyperplasia (BPH) patients treated with TURP and HoLEP between 2011 and 2017 from the nationwide database of reimbursement. We compared the postoperative effects between the two surgical groups. Read More

Medicina (Kaunas) 2021 Apr 9;57(4). Epub 2021 Apr 9.

Department of Surgery/Urology, McGill University, 845 Rue Sherbrooke Ouest, Montréal, QC H3A 0G4, Canada.

Treatment of lower urinary tract symptoms (LUTS) related to benign prostatic hyperplasia (BPH) has shifted over the last decades, with medical therapy becoming the primary treatment modality while surgery is being reserved mostly to patients who are not responding to medical treatment or presenting with complications from BPH. Here, we aim to explore the evidence supporting or not early surgical treatment of BPH as opposed to prolonged medical therapy course. The debate was presented with a "pro and con" structure. Read More

Medicina (Kaunas) 2021 Apr 1;57(4). Epub 2021 Apr 1.

Department of Health Sciences, Division of Pathological Anatomy, University of Florence, 50139 Florence, Italy.

: Angiosarcomas are uncommon and extremely aggressive malignancies derived from vascular endothelial cells. Although they can occur anywhere in the body and at any age, they are more frequently found in the skin of the head and neck regions and in the elderly. Few cases have been recorded in deep soft tissues and in parenchymal organs. Read More

Aging Clin Exp Res 2021 Apr 28. Epub 2021 Apr 28.

Department of Urology, IRCCS INRCA, Via della Montagnola 83, 60127, Ancona, Italy.

Background: Urologists may hesitate to offer transurethral resection of the prostate (TURP) because of increased morbidity in elderly patients.

Aims: We aimed to compare data on postoperative outcomes of elderly men undergoing bipolar transurethral resection of the prostate (B-TURP) as compared to thulium laser vapoenucleation of the prostate (ThuVEP).

Methods: We retrospectively reviewed data of all patients aged ≥ 75 years who underwent benign prostatic hyperplasia surgery. Read More

J Urol 2021 Apr 27:101097JU0000000000001776. Epub 2021 Apr 27.

Prostate Center Northwest, Department of Urology, Pediatric Urology and Uro-Oncology, St. Antonius-Hospital, Gronau, Germany.

Purpose: Prostate cancer patients, who are scheduled for robot-assisted radical prostatectomy (RARP), often have a history of transurethral resection or laser enucleation of the prostate (TUR/LE-P) as treatment of benign prostate hyperplasia (BPH). We examined if these patients have impaired surgical, functional and oncological outcomes compared to those who have no symptom burden of moderate to severe BPH and no previous TUR/LE-P.

Materials And Methods: We compared 368 RARP patients with previous TUR/LE-P (Group A) to 4,945 RARP patients without TUR/LE-P and without moderate or severe BPH symptoms (Group B) in a high-volume RARP center. Read More

Appl Health Econ Health Policy 2021 Apr 26. Epub 2021 Apr 26.

Cedar, Cardiff & Vale University Health Board, Cardiff, UK.

Lower urinary tract symptoms (LUTS) in men commonly occur as a consequence of benign prostatic hyperplasia (BPH), also known as prostate enlargement. Treatments for this can involve electrosurgical removal of a section of the prostate via transurethral resection of the prostate (TURP). This can be performed using either monopolar or bipolar electrosurgery. Read More

Urology 2021 Apr 21. Epub 2021 Apr 21.

Department of Urology, Ludwig-Maximilians-University of Munich, Munich, Germany.

Objective: To evaluate efficacy and safety of holmium laser enucleation of the prostate (HoLEP), bipolar enucleation of the prostate (bTUEP) and transurethral resection of the prostate (TURP) in medium-sized prostates (50cc).

Methods: We present a retrospective analysis of 2230 patients treated for lower urinary tract symptoms. We analysed perioperative parameters, short-term clinical outcomes and adverse events in matched-pair cohorts. Read More

Biomed Res Int 2021 7;2021:8875380. Epub 2021 Apr 7.

The Department of Urology, Second Affiliated Hospital, Army Medical University, Chongqing 400037, China.

Objective: The aim of the current investigation is to develop a new strategy for evaluating blood loss in the process of transurethral resection of the prostate (TURP).

Methods: 318 patients diagnosed with benign prostatic hyperplasia (BPH) that need TURP were enrolled in this study. Hospitalization information including age, height, weight, surgery time, prostate volume, hemoglobin (Hb) concentration, hematocrit (HCT) percentage, and red blood cell count (RBC) was evaluated for each patient. Read More

Int J Surg Case Rep 2021 Apr 7;82:105871. Epub 2021 Apr 7.

College of Medicine, Mohammed Bin Rashid University for Medicine and Health Sciences, Dubai, United Arab Emirates; Department of Urological Surgery, Mediclinic City Hospital, Dubai Healthcare City, Dubai, United Arab Emirates. Electronic address:

Benign prostatic hyperplasia (BPH) is the leading cause of Lower Urinary Tract Symptoms (LUTS) in men worldwide. Urinary frequency, nocturia and incomplete emptying are common symptoms experienced by men with BPH, which significantly reduce their quality of life. Treatment for this dysfunction includes surgical and non-surgical modalities such as watchful waiting, lifestyle modification and medication. Read More

Reg Anesth Pain Med 2021 Apr 19. Epub 2021 Apr 19.

Anesthesiology, Imeldaziekenhuis, Bonheiden, Belgium

Background: Paraplegia is a rare complication of spinal anesthesia.

Case Presentation: We report a case of a 68-year-old man who developed postoperative paraplegia and hypoesthesia after spinal anesthesia for an otherwise uncomplicated transurethral resection of the prostate. Acute transverse myelitis was diagnosed based on urgent MRI. Read More

Can J Urol 2021 Apr;28(2):10638-10642

Boston University School of Medicine, Boston, Massachusetts, USA.

Prostate abscess (PA) is an uncommon prostatic infection, with risk factors including indwelling catheters, acute or chronic prostatitis, bladder outlet obstruction, voiding dysfunction, recent urologic instrumentation (especially transrectal prostate biopsy), chronic kidney disease (CKD), diabetes mellitus (DM), human immunodeficiency virus (HIV), intravenous drug use (IVDU), and hepatitis C. Treatment of PA consists of antibiotics and abscess drainage via transurethral resection (TUR) or image-guided transrectal or transperineal drainage. Numerous studies have demonstrated that TUR of PA has a higher success rate and shorter hospital length of stay when compared to image-guided drainage. Read More

Urol Int 2021 Apr 14:1-11. Epub 2021 Apr 14.

Department of Urology, Department of Surgery, Medical Centre, Faculty of Medicine, University of Freiburg, Freiburg, Germany.

Purpose: We evaluated a system for noninvasive quantitative motion tracking to recognize differences in the movement pattern of experienced surgeons and beginners. Since performing endoscopic procedures requires extensive training, and tissue damage due to disruptive movements with sudden acceleration is possible, the learning curve for beginners is of clinical relevance. Steepening this curve may improve patient outcome. Read More

J Endourol 2021 Apr 13. Epub 2021 Apr 13.

Universidad de Monterrey, 27808, Dirección de Especialidades Médicas, San Pedro Garza Garcia, Nuevo León, Mexico;

Introduction: Urethral and bladder neck stricture (U/BNS) is a complication that occurs in up to 9% of patients following transurethral resection of the prostate (TURP). The most relevant risk factors reported are prolonged surgical duration and prostatic volume. The purpose of this study is to analyze risk factors associated with the development of U/BNS following TURP. Read More

Urol Int 2021 Apr 13:1-11. Epub 2021 Apr 13.

Department of Urology, University of Catania, Catania, Italy.

The treatment of male lower urinary tract symptoms (LUTS) due to benign prostatic obstruction represents one of the major interesting aspects in urological clinical practice. Although transurethral resection of the prostate is still considered the surgical gold standard for treatment of benign prostatic hyperplasia with prostate volume <80 mL, various minimally invasive surgical treatments (MITs) have been developed to overcome the limitations of the "conventional" surgery. To date, there are no validated tools to evaluate the surgical outcomes of MITs; however, in the past, BPH-6 has been used for this purpose. Read More

BMC Urol 2021 Apr 11;21(1):59. Epub 2021 Apr 11.

Department of Urology, MacKay Memorial Hospital, No. 92, Sec. 2, Zhongshan N. Rd., Zhongshan Dist., Taipei, 104, Taiwan.

Backgrounds: The aim of the present study was to investigate the perioperative parameters associated with bladder neck contracture (BNC) after transurethral surgery of the prostate and to compare the incidence of BNC after transurethral resection of the prostate (TURP) or Thulium vaporesection (resection group) versus Thulium vapoenucleation or enucleation of the prostate (enucleation group).

Methods: Between March 2008 and March 2020, 2363 patients received TURP and 1656 patients received transurethral surgery of the prostate with Thulium laser (ThuP) at Mackay Memorial Hospital. A total of 62 patients developed BNC. Read More

Int Urol Nephrol 2021 Apr 11. Epub 2021 Apr 11.

Beaumont Hospital, Royal Oak, MI, USA.

We report on the first regulatory approved clinical trial of a prospective open-label physician-initiated study assessing the safety and efficacy of intradetrusor injected Autologous Muscle Derived Cells (AMDC) treatment for underactive bladder (UAB). 20 non-neurogenic UAB patients were treated. Approximately 50-250 mg of quadriceps femoris muscle was collected using a spirotome 8-gauge needle. Read More

Cardiovasc Intervent Radiol 2021 Apr 6. Epub 2021 Apr 6.

Department of Interventional Radiology, University Hospital Southampton, Tremona Road, Southampton, SO16 6YD, UK.

Purpose: To compare the relative IPSS (International Prostate Symptom Score) improvement in storage and voiding symptoms between prostatic artery embolization (PAE) and transurethral resection of the prostate (TURP).

Method: Retrospective analysis of the UK-ROPE (UK Register of Prostate Embolization) multicentre database was conducted with inclusion of all patients with full IPSS questionnaire score data. The voiding and storage subscore improvement was compared between interventions. Read More

J Am Geriatr Soc 2021 Apr 5. Epub 2021 Apr 5.

Department of Surgery, University of California, San Francisco, San Francisco, California, USA.

Background/objectives: To compare surgical outcomes between vulnerable nursing home (NH) residents and matched community-dwelling older adults undergoing surgery for bladder and bowel dysfunction.

Design: Retrospective cohort study.

Participants: A total of 55,389 NH residents and propensity matched (based on procedure, age, sex, race, comorbidity, and year) community-dwelling older adults undergoing surgery for bladder and bowel dysfunction [female pelvic surgery, transurethral resection of the prostate, suprapubic tube placement, hemorrhoid surgery, rectal prolapse surgery]. Read More

Aging Male 2020 Dec 5;23(5):1620-1626. Epub 2021 Apr 5.

Hereford County Hospital, Wye Valley NHS Trust, Hereford, UK.

Objectives: Acute urinary retention (AUR) is one of the most significant complication of benign prostatic hyperplasia (BPH). The gold standard surgical treatment for BPH, transurethral resection of the prostate (TURP), is not without significant side effects and a prolonged hospital stay. The aim of this study is to evaluate the role of Rezūm ™ steam ablation in the treatment of patients with AUR secondary to BPH. Read More

Andrologia 2021 Apr 2:e14055. Epub 2021 Apr 2.

Department of Urology, School of Medicine, Xinhua Hospital, Shanghai Jiao Tong University, Shanghai, China.

Chronic prostatitis is hard to be identified in BPH patients in clinical works. This study aimed to diagnose chronic prostatitis in BPH patients by noninvasive methods. BPH patients who received transurethral resection of prostate from January 2014 to July 2015 were enrolled in current study. Read More

J Urol 2021 Apr 1:101097JU0000000000001757. Epub 2021 Apr 1.

Department of Urology, Weill Cornell Medical College, New York Presbyterian Hospital, New York, New York.

Purpose: Novel minimally invasive therapies like the prostatic urethral lift are among the many endoscopic options for the treatment of benign prostatic enlargement and lower urinary tract symptoms (BPE/LUTS). To further understand the relative uptake, complications and retreatment rates of contemporary endoscopic procedures for BPE/LUTS across diverse practice types, we performed a retrospective study of inpatient and ambulatory surgery encounters in the Premier Healthcare database.

Materials And Methods: We included men who underwent endoscopic procedures for BPE/LUTS between 2000 and 2018. Read More

World J Urol 2021 Mar 31. Epub 2021 Mar 31.

S.H. Ho Urology Centre, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China.

Purpose And Objective: To evaluate and compare the incidences of post-operative pelvic pain (PPP) in patients undergoing ablation, enucleation and conventional transurethral resection of the prostate (TURP).

Methods: A systematic review and meta-analysis was conducted according to the PRISMA guidelines. Using MEDLINE via PubMed and Cochrane CENTRAL, randomised control trials (RCTs) and observational studies reporting PPP rates post-ablation, enucleation or TURP were identified. Read More

SAGE Open Med 2021 12;9:20503121211000908. Epub 2021 Mar 12.

Department of Surgical and Perioperative Sciences, Urology and Andrology, Umeå University, Umeå, Sweden.

Objectives: The aim was to describe the patients' experience of undergoing prostatic artery embolization.

Methods: A retrospective qualitative interview study was undertaken with 15 patients of mean age 73 years who had undergone prostatic artery embolization with a median duration of 210 min at two medium sized hospitals in Sweden. The reasons for conducting prostatic artery embolization were clean intermittent catheterization (n = 4), lower urinary tract symptoms (n = 10) or haematuria (n = 1). Read More

J Arthroplasty 2021 Feb 27. Epub 2021 Feb 27.

Department of Orthopaedic Surgery, University of Arkansas for Medical Sciences, Little Rock, AR.

Background: Abnormal voiding dynamics may be a modifiable risk factor for prosthetic joint infection (PJI) after total joint arthroplasty (TJA), but the cost-effectiveness of their optimization in the perioperative setting is unknown. Using a break-even analysis, we calculated the economic viability of perioperative voiding optimization for infection prevention after TJA in patients with symptomatic benign prostatic hyperplasia (BPH).

Methods: A perioperative voiding optimization algorithm was created to represent a common approach to treating symptomatic BPH before TJA. Read More

World J Urol 2021 Mar 27. Epub 2021 Mar 27.

Icahn School of Medicine at Mount Sinai, 625 Madison Avenue, New York, USA.

In 1926 Maximilian Stern introduced a new instrument to treat obstructions at the vesical orifice and baptized it resectoscope. With reference to astonishing historical statements about the new instrument and surgical technique made by the pioneers and their critics we will value why transurethral resection of the prostate (TURP) remains the gold standard for most men suffering from lower urinary tract symptoms (LUTS) due to benign prostatic enlargement. TURP is currently challenged by recently introduced new instruments and techniques claiming advantages over TURP. Read More

World J Urol 2021 Mar 26. Epub 2021 Mar 26.

Department of Urology, Asklepios Hospital Barmbek, Rübenkamp 220, 22291, Hamburg, Germany.

Introduction: Transurethral resection of the prostate and open prostatectomy have been the standard of care for the surgical treatment of benign prostatic obstruction (BPO) over decades. New emerging techniques for the surgical management of BPO have been currently introduced, but might be associated with new, unusual complications.

Methods: We herewith report on two patients with a rectal perforation after aquablation treatment of BPO. Read More

Low Urin Tract Symptoms 2021 Mar 25. Epub 2021 Mar 25.

Department of Urology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Objective: To evaluate the efficacy and tolerability of a self-expandable covered metallic stent in patients with malignant prostatic obstruction secondary to prostate cancer (PC).

Methods: We reviewed 22 cases of insertion of self-expandable covered metallic stents with barbs. Data were collected about PC status. Read More