Technical aspects of transurethral plasmakinetic enucleation and resection of the prostate for benign prostatic hyperplasia. 2017

Yang Yu, and Guantao Lou, and Chen Shen, and Sheng Guan, and Wei Wang, and Bo Yang
a Department of Urology , The Second Hospital of Dalian Medical University , DaLian , LiaoNing Province , China.

TUERP, which is based on TURP, technically has been proven to be safe and effective with reduced complication rates. Due to the lack of systematic pre-clinical training, the surgery is learnt only inside the operative theatre in the majority of the Chinese medical centers. It is also known to have a steep learning curve, and very few articles have addressed the technical aspects of TUERP. METHODS The videos of 91 cases of bipolar transurethral enucleation and resection of the prostate, which were performed by one urological surgeon in our department from August 2013 to January 2016, were retrospectively analyzed. With an extensive review of the literature and based on the summary of our experience, detailed techniques and tips for TUERP are described. RESULTS The procedure is initiated from the enucleation of mid-lobe and progressed in a retrograde mode with the guide of the capsular plane. Along with the experience accumulated, the capability of landmark identifying and the surgical skills were improved. CONCLUSIONS A steep operative learning curve may be the main obstacle to the widespread use of TUERP. Accurate identification and orientation of the landmark with good understanding of the three-dimensional structure of the prostatic fossa and the detailed technical issues of enucleating along the right capsule plane will be helpful for beginners to overcome the learning curve and gain confidence with this procedure and for experienced surgeons to further improve their surgical technique.

UI MeSH Term Description Entries
D008297 Male Males
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
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012189 Retrospective Studies Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons. Retrospective Study,Studies, Retrospective,Study, Retrospective
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

Related Publications

Yang Yu, and Guantao Lou, and Chen Shen, and Sheng Guan, and Wei Wang, and Bo Yang
May 2011, Zhonghua nan ke xue = National journal of andrology,
Yang Yu, and Guantao Lou, and Chen Shen, and Sheng Guan, and Wei Wang, and Bo Yang
February 2018, Zhonghua nan ke xue = National journal of andrology,
Yang Yu, and Guantao Lou, and Chen Shen, and Sheng Guan, and Wei Wang, and Bo Yang
May 2011, Zhonghua nan ke xue = National journal of andrology,
Yang Yu, and Guantao Lou, and Chen Shen, and Sheng Guan, and Wei Wang, and Bo Yang
July 2012, Journal of endourology,
Yang Yu, and Guantao Lou, and Chen Shen, and Sheng Guan, and Wei Wang, and Bo Yang
December 2016, Scientific reports,
Yang Yu, and Guantao Lou, and Chen Shen, and Sheng Guan, and Wei Wang, and Bo Yang
April 2022, Military Medical Research,
Yang Yu, and Guantao Lou, and Chen Shen, and Sheng Guan, and Wei Wang, and Bo Yang
December 2018, Zhonghua nan ke xue = National journal of andrology,
Yang Yu, and Guantao Lou, and Chen Shen, and Sheng Guan, and Wei Wang, and Bo Yang
January 2016, Journal of endourology,
Yang Yu, and Guantao Lou, and Chen Shen, and Sheng Guan, and Wei Wang, and Bo Yang
July 2004, Zhonghua nan ke xue = National journal of andrology,
Copied contents to your clipboard!