MP32-03 EN-BLOC HOLEP VS EN-BLOC GREENLEP: COMPARING INTRA AND POST-OPERATIVE OUTCOMES FOR EN-BLOC ENUCLEATION TECHNIQUE USING TWO KINDS OF LASER TO TREAT PATIENTS AFFECTED BY BENIGN PROSTATIC ENLARGEMENT (BPE)

Abstract

You have accessJournal of UrologyBenign Prostatic Hyperplasia: Surgical Therapy & New Technology II (MP32)1 Apr 2020MP32-03 EN-BLOC HOLEP VS EN-BLOC GREENLEP: COMPARING INTRA AND POST-OPERATIVE OUTCOMES FOR EN-BLOC ENUCLEATION TECHNIQUE USING TWO KINDS OF LASER TO TREAT PATIENTS AFFECTED BY BENIGN PROSTATIC ENLARGEMENT (BPE) Moises Elias Rodriguez Socarras*, Giuseppe Saitta, Vanesa Cuadros, Reinoso Elbers Javier, Enrique Rijo, Ivan Michel Mercado, Julio Fernandez del Alamo, Juan Gomez Rivas, Luis Llanes, Pablo Juarez del Dago, and Fernando Gomez Sancha Moises Elias Rodriguez Socarras*Moises Elias Rodriguez Socarras* More articles by this author , Giuseppe SaittaGiuseppe Saitta More articles by this author , Vanesa CuadrosVanesa Cuadros More articles by this author , Reinoso Elbers JavierReinoso Elbers Javier More articles by this author , Enrique RijoEnrique Rijo More articles by this author , Ivan Michel MercadoIvan Michel Mercado More articles by this author , Julio Fernandez del AlamoJulio Fernandez del Alamo More articles by this author , Juan Gomez RivasJuan Gomez Rivas More articles by this author , Luis LlanesLuis Llanes More articles by this author , Pablo Juarez del DagoPablo Juarez del Dago More articles by this author , and Fernando Gomez SanchaFernando Gomez Sancha More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000876.03AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: En-Bloc enucleation has been introduced recently as a safety and valid technique to treat patients affected by benign prostatic enlargement (BPE). The aim of this study is to compare intra and post-operative outcomes for En-Bloc HoLEP vs En-Bloc GreenLEP. METHODS: A prospective analysis of 312 consecutive patients who underwent En-Bloc enucleation at our institution, between January 2013 - March 2017, was performed (137 in En-Bloc HoLEP group vs 175 in En-bloc GreenLEP group). All procedures were performed by a large experienced single surgeon in laser surgery for BPE. Patients were followed-up at 1, 3, 6, 12, 24 months and intra- and post-operative parameters as well as functional results were assessed: International Prostate Symptom Score (IPSS), International Index of Erectile Function (IIEF), maximum flow rate (Qmax), postvoid residual urine (PVR), prostate specific antigen (PSA), mean residual prostate volume (ml). Complications were recorded according to Clavien-Dindo classification. Analyzes were carried out with the statistical software R (version 3.3.2) using Chi-square, t-Student, ANOVA, Kruskall Wallis & U-Mann-Whitney as statistical tests. RESULTS: Mean patients’ age was 66 ± 5.3 years; pre-operative PSA was 3.80 ± 1.50 vs 3.60 ± 1.40ng/ml (p=0.638), prostate volume was 80 ± 41.5 [45.0 - 119] vs 75 ± 42.3 [45.0 - 114] (p=0.351), surgical time was 47.6±21.3 vs 52.0±23.0 min (p=0.039), morcellation time was 6.9 ± 2.5 vs 6.0± 2.9 min (p=0.159), catheterization time and hospital stay were 1.27 ± 0.60 [0.75 - 1.5] vs 1.15 ± 0.65 [0.75 - 1.3] days (p=0.680) for En-Bloc HoLEP and En-Bloc GreenLEP, respectively. En-Bloc GreenLEP demonstrated a significant improved IIEF score at 1 and 3 months compared to En-Bloc HoLEP (p <0.001). En-Bloc HoLEP showed lower rates of SUI (p < 0.05) and more reduction of IPSS score at 12 months compared to GreenLEP CONCLUSIONS: Both En-Bloc HoLEP and En-Bloc GreenLEP are feasible and safe to treat patients with benign prostatic enlargement (BPE). En-Bloc HoLEP shows lower rates of temporary urinary incontinence and more reduction on IPSS; while IIEFs seems better in En-Bloc GreenLEP group. Source of Funding: None © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e485-e486 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Moises Elias Rodriguez Socarras* More articles by this author Giuseppe Saitta More articles by this author Vanesa Cuadros More articles by this author Reinoso Elbers Javier More articles by this author Enrique Rijo More articles by this author Ivan Michel Mercado More articles by this author Julio Fernandez del Alamo More articles by this author Juan Gomez Rivas More articles by this author Luis Llanes More articles by this author Pablo Juarez del Dago More articles by this author Fernando Gomez Sancha More articles by this author Expand All Advertisement PDF downloadLoading ...