A study to standardize “ablation of the lateral lobes of the prostate at the 12-o’clock position” with HoLEP（holmiumlaser enucleation of the prostate）

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  • HoLEP（Holmium Laser Enucleation of the Prostate）による「前立腺側葉12時の剥離」を標準化するための一考察
  • HoLEP(Holmium Laser Enucleation of the Prostate)ニ ヨル 「 ゼンリツセンガワ ヨウ 12ジ ノ ハクリ 」 オ ヒョウジュンカ スル タメ ノ イチ コウサツ

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Abstract

  Of 135 patients for whom HoLEP（holmium laser enucleation of the prostate）was performed in this department between June 2009 and January 2011, 105 underwent enucleation with anteroposterior dissection HoLEP. This technique is relatively simple, capable of facilitating the completion of surgery regardless of the size of the adenoma, and expected to decrease the risk of stress urinary incontinence（SUI）, one of the post-operative complications. In order to normalize “ablation of the lateral lobes of the prostate at the 12-o’clock position”, we evaluated this procedure, technically the most difficult part of anteroposterior dissection HoLEP. As a result, it was possible to reach the ablation surface from the 12-o’clock position in all patients, and, hence, it was considered that this procedure can be normalized. In addition, this technique was thought to possibly decrease the early post-operative risk of SUI, because there was a significant decrease in SUI one month postoperatively.

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