Biomaterial Database

Sequential transurethral enucleation of the prostate and laparoscopic bladder diverticulectomy. 2016

Yang Yu, and Sheng Guan, and Chen Shen, and Bo Yang

a Department of Urology , The Second Hospital of Dalian Medical University , DaLian , LiaoNing Province , China.

Transurethral endoscopic technique and standard laparoscopic technique are surgical options for the management of benign prostatic hyperplasia (BPH) associated with urinary bladder diverticuli (UBD). In this article, we report laparoscopic diverticulectomy (LD) and transurethral plasmakinetic enucleation of the prostate (TUEP) in the same patient sequentially. To the best of our knowledge, this is the first case report of LD combined with TUEP. An 82-year-old patient with benign prostatic hyperplasia and two secondary large bladder diverticuli underwent sequential TUEP and LD. After completion of the TUEP procedure, the detached adenoma was pushed into the bladder as a whole. Then laparoscopic transperitoneal extravesical diverticulectomy assisted by cystoscopic transillumination was performed immediately, and the enucleated prostate was removed via the neck of the diverticulum. The enucleation time and diverticulectomy time was 18 minutes and 108 minutes, respectively. The catheter was removed on the tenth postoperative day. Transurethral endoscopic surgery combined with LD is a good choice in treating BPH and UBD in one session. But the combined procedure is time-consuming, especially for fragmentation of the prostate. TUEP can greatly reduce the operative time of the combined procedure.

UI	MeSH Term	Description	Entries
D008297	Male		Males
D010535	Laparoscopy	A procedure in which a laparoscope (LAPAROSCOPES) is inserted through a small incision near the navel to examine the abdominal and pelvic organs in the PERITONEAL CAVITY. If appropriate, biopsy or surgery can be performed during laparoscopy.	Celioscopy,Laparoscopic Surgical Procedures,Peritoneoscopy,Surgical Procedures, Laparoscopic,Laparoscopic Assisted Surgery,Laparoscopic Surgery,Laparoscopic Surgical Procedure,Procedure, Laparoscopic Surgical,Procedures, Laparoscopic Surgical,Surgery, Laparoscopic,Surgical Procedure, Laparoscopic,Celioscopies,Laparoscopic Assisted Surgeries,Laparoscopic Surgeries,Laparoscopies,Peritoneoscopies,Surgeries, Laparoscopic,Surgeries, Laparoscopic Assisted,Surgery, Laparoscopic Assisted
D011470	Prostatic Hyperplasia	Increase in constituent cells in the PROSTATE, leading to enlargement of the organ (hypertrophy) and adverse impact on the lower urinary tract function. This can be caused by increased rate of cell proliferation, reduced rate of cell death, or both.	Adenoma, Prostatic,Benign Prostatic Hyperplasia,Prostatic Adenoma,Prostatic Hyperplasia, Benign,Prostatic Hypertrophy,Prostatic Hypertrophy, Benign,Adenomas, Prostatic,Benign Prostatic Hyperplasias,Benign Prostatic Hypertrophy,Hyperplasia, Benign Prostatic,Hyperplasia, Prostatic,Hyperplasias, Benign Prostatic,Hypertrophies, Prostatic,Hypertrophy, Benign Prostatic,Hypertrophy, Prostatic,Prostatic Adenomas,Prostatic Hyperplasias, Benign,Prostatic Hypertrophies
D001745	Urinary Bladder Diseases	Pathological processes of the URINARY BLADDER.	Bladder Diseases,Bladder Disease,Urinary Bladder Disease
D004240	Diverticulum	A pouch or sac developed from a tubular or saccular organ, such as the GASTROINTESTINAL TRACT.	Diverticulosis,Diverticula
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000369	Aged, 80 and over	Persons 80 years of age and older.	Oldest Old
D020728	Transurethral Resection of Prostate	Removal of all or part of the PROSTATE, often using a cystoscope and/or resectoscope passed through the URETHRA.	Contact Laser Ablation of Prostate,Prostatectomy, Transurethral,TURP,TUVP,Transurethral Electroresection of Prostate,Transurethral Electrovaporization of Prostate,Transurethral Microwave Thermotherapy,Transurethral Needle Ablation of Prostate,Transurethral Radiofrequency Thermal Ablation,Transurethral Thermotherapy,Transurethral Ultrasound-Guided Laser-Induced Prostatectomy,Transurethral Vaporesection of Prostate,Transurethral Visual Laser Ablation of Prostate,VLAP,Transurethral Prostate Resection,Microwave Thermotherapy, Transurethral,Prostate Resection, Transurethral,Prostate Resections, Transurethral,Prostate Transurethral Electroresection,Prostate Transurethral Electroresections,Prostate Transurethral Electrovaporization,Prostate Transurethral Electrovaporizations,Prostate Transurethral Resection,Prostate Transurethral Resections,Prostate Transurethral Vaporesection,Prostate Transurethral Vaporesections,Prostatectomies, Transurethral,Resection, Transurethral Prostate,Resections, Transurethral Prostate,TURPs,Thermotherapies, Transurethral,Thermotherapy, Transurethral,Thermotherapy, Transurethral Microwave,Transurethral Prostate Resections,Transurethral Prostatectomies,Transurethral Prostatectomy,Transurethral Thermotherapies,Transurethral Ultrasound Guided Laser Induced Prostatectomy