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Innovative endoscopic enucleations of the prostate-Xie's Prostate Enucleations |
Xie Lipinga,Wang Xiaoa,Chen Honga,Zheng Xiangyia,Liu Bena,Li Shiqia,Mao Yeqinga,Mao Qiqia,Wang Songa,Li Jiangfenga,Loch Tillmannb
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a Department of Urology, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, 310003, Zhejiang, China b Department of Urology, Diakonissenkrankenhaus Flensburg, Lehrkrankenhaus der Christian-Albrechts-Universit?t, Marienh?lzungsweg, Flensburg, Germany |
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Abstract In the past 2 decades, endoscopic enucleation of the prostate has become a safe and effective surgical treatment for benign prostatic hyperplasia (BPH), with comparable outcomes to traditional surgeries. Transurethral vapor enucleation and resection of the prostate (TVERP), transurethral vapor enucleation of the prostate (TVEP), and ultrasound-navigated TVEP (US-TVEP) are new, innovative endoscopic enucleation procedures. These procedures are named Xie's Prostate Enucleations (Xie's Procedures for short). Current clinical data indicate that Xie's Procedures are safe and effective treatment options for patients with BPH, especially for patients with larger prostates. Further prospective, randomized clinical trials compared with traditional transurethral resection of prostate (TURP) are still needed.
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Received: 01 April 2017
Published: 07 March 2018
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Transurethral vapor enucleation and resection of the prostate (TVERP)/transurethral vapor enucleation of the prostate (TVEP). Managing the middle lobe. (A) Five o'clock position. (B) Seven o'clock position. (C) A circular vaporization was made from the 5 to 7 o'clock position, and the electrode button was moved towards the bladder neck along the surgical capsule to continue vaporization.
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Transurethra vapor enucleation and resection of the prostate (TVERP)/Transurethral vapor enucleation of the prostate (TVEP). Managing the bilateral lobes. (A) The left lobe was dissected with the button electrode in a retrograde and transverse fashion. (B) The right lobe was treated in the same way.
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Specimen retrieval. (A) Transurethra vapor enucleation and resection of the prostate (TVERP). The prostatic hyperplastic tissue was resected with a cutting loop. (B) Transurethral vapor enucleation of the prostate (TVEP). The prostate was completely enucleated and pushed into the bladder, and the prostatic hyperplastic tissue was morcellated by the tissue morcellator.
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The ultrasound-navigated transurethral vapor enucleation of the prostate (US-TVEP) procedure. (A) Managing the middle lobe. (B) The prostate was completely enucleated and pushed into the bladder. (C) The prostatic hyperplastic tissue was morcellated. (D) The cutting loop was used to coagulate tissue and create a smooth cavity surface (the verumontanum was under the cutting loop).
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