Real-world experience with the new pulsed solid-state Thulium: YAG laser (Thulio) for endoscopic enucleation of the prostate.
Benign prostate hyperplasia (BPH)
Endoscopic enucleation of the prostate (EEP)
Holmium laser enucleation of the prostate (HoLEP)
Thulium laser enucleation of the prostate (ThuLEP)
Journal
World journal of urology
ISSN: 1433-8726
Titre abrégé: World J Urol
Pays: Germany
ID NLM: 8307716
Informations de publication
Date de publication:
02 Aug 2024
02 Aug 2024
Historique:
received:
07
05
2024
accepted:
21
06
2024
medline:
2
8
2024
pubmed:
2
8
2024
entrez:
2
8
2024
Statut:
epublish
Résumé
The solid-state Thulium laser (Tm: YAG) is a novel alternative to the widely used Holmium laser for endoscopic enucleation of the prostate (EEP) due to its relatively high peak power. The aim of this study was to examine the efficacy and safety of a new pulsed Tm: YAG laser in its first application in humans. Data were retrospectively collected for the first 103 patients who underwent EEP with a new pulsed solid-state Tm: YAG laser (Thulio The mean preoperative prostate volume was 105.6 ± 55.0 ml. Median enucleation speed was 4.1 g per minute (range 1.1-9.7). Short-term postoperative complications occurred in 21 patients (20.4%), but no high-grade complications (CDC ≥ IV) were observed. Five patients suffered gross haematuria and required reintervention (CDC IIIb; 4.9%). After 15 months, 76 patients (73.8%) participated in the follow-up interview, where seven patients (9.2%) reported complications, including two reinterventions for urethral strictures (CDC IIIb; 2.6%). Most patients reported an improvement in continence (54.0%) and urine stream (93.4%), but no difference in erectile function (81.6%). No persistent dysuria was reported. Patient satisfaction with the surgery results was very high (96.1%). Endoscopic enucleation of the prostate with the new pulsed solid-state Tm: YAG laser is a safe and effective option for surgical BPH treatment. German Clinical Trials Register number: DRKS00031676. Registration date: 10 May 2023, retrospectively registered.
Identifiants
pubmed: 39093491
doi: 10.1007/s00345-024-05141-8
pii: 10.1007/s00345-024-05141-8
doi:
Substances chimiques
Thulium
8RKC5ATI4P
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
467Informations de copyright
© 2024. The Author(s).
Références
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