Scholarlink

Background <p>Anatomical Endoscopic enucleation of the prostate (AEEP) has emerged as a highly effective surgical treatment for benign prostatic enlargement, with multiple laser platforms now available. This study compares perioperative and early postoperative outcomes across three distinct laser systems.</p> Methods <p>We analysed 447 patients who underwent AEEP across seven centres between March and August 2025. Patients were divided into three groups: Group 1 (<i>n</i> = 184) treated with Holmium: YAG laser employing Magneto technology, Group 2 (<i>n</i> = 64) with high-power Holmium: YAG laser, and Group 3 (<i>n</i> = 199) with pulsed Thulium: YAG laser. Perioperative parameters, complications, and three-month functional outcomes were assessed.</p> Results <p>Group 3 demonstrated superior operative efficiency with shortest median total operation time (45 vs. 60 vs. 65&#xa0;min, <i>p</i> &lt; 0.001) and enucleation time (22 vs. 33 vs. 33&#xa0;min, <i>p</i> &lt; 0.001). No patients in Group 3 required electrocautery for haemostasis compared to 20.7% in Group 1 and 35.9% in Group 2 (<i>p</i> &lt; 0.001). No patient required blood transfusion. No major complications occurred. Readmission for bleeding requiring manual clot evacuation occurred in 6.2% of Group 2 patients and 0.5% of Group 3 patients, with no cases in Group 1 (<i>p</i> &lt; 0.001). Early and late urinary incontinence was significantly lower in Group 3 versus Groups 1 and 2. All platforms achieved substantial functional improvements at 3-month follow-up. No major complications.</p> Conclusions <p>While all three laser platforms achieved effective surgical outcomes with favourable safety profiles, the pulsed Thulium: YAG and Holmium: YAG lasers with magneto technology were associated with advantages in hemostasis and continence outcomes. </p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Does pulse modulation technology improve endoscopic enucleation of the prostate? Real-world comparison of three contemporary laser platforms in 447 patients

  • 期刊论文

  • 发表日期：

    2026年1月25日

查看全文
  • Daniele Castellani,
  • Khi Yung Fong,
  • Ioannis Kartalas Goumas,
  • Karl Tan,
  • Sarvajit Biligere,
  • Steffi Kar-Kei Yuen,
  • Marek Zawadzki,
  • Giorgio Bozzini,
  • Thiago Hota,
  • Vineet Gauhar

摘要

Background

Anatomical Endoscopic enucleation of the prostate (AEEP) has emerged as a highly effective surgical treatment for benign prostatic enlargement, with multiple laser platforms now available. This study compares perioperative and early postoperative outcomes across three distinct laser systems.

Methods

We analysed 447 patients who underwent AEEP across seven centres between March and August 2025. Patients were divided into three groups: Group 1 (n = 184) treated with Holmium: YAG laser employing Magneto technology, Group 2 (n = 64) with high-power Holmium: YAG laser, and Group 3 (n = 199) with pulsed Thulium: YAG laser. Perioperative parameters, complications, and three-month functional outcomes were assessed.

Results

Group 3 demonstrated superior operative efficiency with shortest median total operation time (45 vs. 60 vs. 65 min, p < 0.001) and enucleation time (22 vs. 33 vs. 33 min, p < 0.001). No patients in Group 3 required electrocautery for haemostasis compared to 20.7% in Group 1 and 35.9% in Group 2 (p < 0.001). No patient required blood transfusion. No major complications occurred. Readmission for bleeding requiring manual clot evacuation occurred in 6.2% of Group 2 patients and 0.5% of Group 3 patients, with no cases in Group 1 (p < 0.001). Early and late urinary incontinence was significantly lower in Group 3 versus Groups 1 and 2. All platforms achieved substantial functional improvements at 3-month follow-up. No major complications.

Conclusions

While all three laser platforms achieved effective surgical outcomes with favourable safety profiles, the pulsed Thulium: YAG and Holmium: YAG lasers with magneto technology were associated with advantages in hemostasis and continence outcomes.