Precise Transurethral Enucleation of Prostate: New Surgery Treatment for Benign Prostate Hyperplasia

Huan Xu, Meng Gu, Qi Chen, Yan-bo Chen, Z. Cai, Zhong Wang
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Abstract

There have been many advances in the surgical treatment for benign prostate hyperplasia (BPH), moving from open surgery (retropubic and suprapubic open prostatectomy) to transurethral resection of the prostate (TURP, the historical gold standard and still the most commonly used approach), and onto endoscopic transurethral enucleation. The application of new laser and plasma technologies now allows the precise transurethral enucleation of the prostate (PTUEP). In our medical center, we have found great success using PTUEP. Many urologists have found that PTUEP reduces perioperative complications and risks during operation. It can be applied to all size prostates and can even be used with BPH patients taking anticoagulation medicine. PTUEP is quickly replacing TURP as an effective and less invasive approach to BPH surgery.
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经尿道前列腺精切术:良性前列腺增生的新手术治疗方法
良性前列腺增生(BPH)的外科治疗已经取得了许多进展,从开放手术(耻骨后和耻骨上开放性前列腺切除术)到经尿道前列腺切除术(TURP,历史上的金标准,仍然是最常用的入路),再到经尿道内镜下核切除。新的激光和等离子体技术的应用现在允许精确的经尿道前列腺切除术(PTUEP)。在我们的医疗中心,我们使用PTUEP取得了巨大的成功。许多泌尿科医生发现PTUEP可以减少围手术期并发症和手术风险。它可以适用于所有大小的前列腺,甚至可以用于BPH患者服用抗凝药物。PTUEP正迅速取代TURP,成为BPH手术中有效且侵入性较小的方法。
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