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Fayou Z, Jiude Z, Shuxian Z, Yajun S, Wei X, Jia Y, Fan S, Yueling X, Renrui H, Xiaolei T. 1470 nm laser is better for prostate hyperplasia treatment with different volume size via transurethral enucleation. BMC Surg 2023; 23:356. [PMID: 37990316 PMCID: PMC10664299 DOI: 10.1186/s12893-023-02266-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2023] [Accepted: 11/12/2023] [Indexed: 11/23/2023] Open
Abstract
INTRODUCTION The large amount of intraoperative bleeding and the high incidence of postoperative hematuria are still common factors affecting the prostate surgery treatment effect. Our research aimed to observe the effect of prostatic enucleation using 1,470 nm semiconductor laser on the amount of bleeding in patients with different sizes of prostate hyperplasia. METHODS According to the size of the prostate, forty eligible patients with benign prostatic hyperplasia (BPH) were enrolled and divided into low and high volume group in this study. Hemoglobin decline, urinating condition, complications and erectile function were collected and compared before and after surgery. RESULTS Our data showed that hemoglobin decline was (10.0 ± 6.2) g/L and (12.1 ± 7.8) g/L, respectively for two group after surgery (P = 0.363). Urination was significantly improved following surgery in both groups of patients (P < 0.05), and no permanent urinary incontinence and sexual dysfunction and so no serious complications occurred. CONCLUSION The above results suggested that prostatic enucleation using 1,470 nm semiconductor laser can be safe and effective for prostatic hyperplasia, and this surgery produced no significant effect on the amount of bleeding in whatever size of the prostate.
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Affiliation(s)
- Zhou Fayou
- Department of Urological Surgery, The Second Affiliated Hospital of Wannan Medical College, Wuhu, 241000, China
| | - Zheng Jiude
- Department of Urological Surgery, The Second Affiliated Hospital of Wannan Medical College, Wuhu, 241000, China
| | - Zhang Shuxian
- Department of Urological Surgery, The Second Affiliated Hospital of Wannan Medical College, Wuhu, 241000, China
| | - Shen Yajun
- Department of Urological Surgery, The Second Affiliated Hospital of Wannan Medical College, Wuhu, 241000, China
| | - Xu Wei
- Department of Urological Surgery, The Second Affiliated Hospital of Wannan Medical College, Wuhu, 241000, China
| | - Yu Jia
- Department of Urological Surgery, The Second Affiliated Hospital of Wannan Medical College, Wuhu, 241000, China
| | - Su Fan
- Centre for Translational Medicine, The Second Affiliated Hospital of Wannan Medical College, Wuhu, 241000, China
- Vascular disease research center & Basic Medical Laboratory, The Second Affiliated Hospital of Wannan Medical College, Wuhu, 241000, China
| | - Xiong Yueling
- Centre for Translational Medicine, The Second Affiliated Hospital of Wannan Medical College, Wuhu, 241000, China
- Vascular disease research center & Basic Medical Laboratory, The Second Affiliated Hospital of Wannan Medical College, Wuhu, 241000, China
| | - Han Renrui
- Research Office of Wannan Medical College, Wuhu, 241000, China
| | - Tang Xiaolei
- Centre for Translational Medicine, The Second Affiliated Hospital of Wannan Medical College, Wuhu, 241000, China.
- Vascular disease research center & Basic Medical Laboratory, The Second Affiliated Hospital of Wannan Medical College, Wuhu, 241000, China.
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Wang Y, Cheng X, Xiong Q, Cheng S. The progress of dorsal vascular complex control strategy in radical prostatectomy. J Int Med Res 2023; 51:3000605231152091. [PMID: 36843442 PMCID: PMC9972062 DOI: 10.1177/03000605231152091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/28/2023] Open
Abstract
Radical prostatectomy has undergone a development from open to laparoscopic surgery to a surgical robotic approach. With improved surgical equipment and the continuous development of surgical techniques, various surgical strategies for controlling the dorsal vascular complex (DVC) during RP have been investigated, which affect intraoperative blood loss, postoperative tumour control and postoperative urinary and sexual function. The present narrative review summarizes the latest anatomical information about the prostatic apex and DVC and then describes the three types of DVC control. More detailed anatomy of the DVC is required and the optimal DVC control under different situations needs further research.
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Affiliation(s)
- Yinhuai Wang
- Department of Urology, The Second Xiangya Hospital, Central
South University, Changsha, Hunan Province, China
| | - Xu Cheng
- Department of Urology, The Second Xiangya Hospital, Central
South University, Changsha, Hunan Province, China
| | - Qi Xiong
- Department of Urology, The Second Affiliated Hospital, Hunan
University of Chinese Medicine, Changsha, Hunan Province, China
| | - Shunhua Cheng
- Department of Urology, The Second Xiangya Hospital, Central
South University, Changsha, Hunan Province, China,Shunhua Cheng, Department of Urology, The
Second Xiangya Hospital, Central South University, 139 Remin Middle Road,
Changsha, Hunan 410011, China.
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Kaiho Y, Ito J, Iwamura H, Anan G, Kuromoto A, Kudo T, Sato M. Nerves in the Areas Posterior to the Prostate Base Contribute to Erectile Function: An Intraoperative Electrical Stimulation Assessment. Urology 2019; 132:156-160. [DOI: 10.1016/j.urology.2019.05.048] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2019] [Revised: 04/25/2019] [Accepted: 05/10/2019] [Indexed: 11/25/2022]
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Abbou CC, Abdelbary A. Neuro-anatomic basis of potency recovery after radical prostatectomy: an expert's point of view. MINERVA CHIR 2018; 74:28-36. [PMID: 30037182 DOI: 10.23736/s0026-4733.18.07848-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
INTRODUCTION From 25% to 95% of those who have undergone radical prostatectomy (RP) report erectile dysfunction 12 months after surgery. We attempt a review of the available evidence regarding the anatomy of the cavernous nerves and the surgical refinements to enhance sexual function recovery after surgery. EVIDENCE ACQUISITION The PubMed/Medline database was searched. Duplicates were removed. Studies were selected by the authors according to the aim of the present review. EVIDENCE SYNTHESIS The cavernous nerves are deemed responsible for erections, but their exact function is still a matter of debate. They do not necessarily have the same distribution in all individuals: in most the cases, these nerves are located posterolaterally, however, it is not uncommon to find some fibers on the anterolateral aspects of the prostate, especially towards the apex. Several technical strategies were proposed in order to intraoperatively identify and spare the neurovascular bundles: despite all efforts, clinical results are still only partially satisfying. CONCLUSIONS The recovery of potency is one of the most unpredictable outcomes after RP. The advent of the robotic surgical system seems to have brought a trend towards a faster recovery of erectile function.
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Affiliation(s)
- Clément C Abbou
- Department of Urology, Henri Mondor Hospital, Créteil, France -
| | - Ahmed Abdelbary
- Department of Surgical Oncology, National Cancer Institute, Cairo University, Cairo, Egypt
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