🧵 EAU26 | 5 cosas que me llevo de los abstracts sobre enucleación prostática (hilo):
1/5 Dos RCTs confirman que el resectoscopio 22F reduce la incontinencia precoz frente al 26F estándar (6.5% vs 29.5%). La miniaturización en enucleación ya tiene evidencia de nivel 1. #HoLEP #EAU26
2/5 HoLEP, ThuLEP, AEEP, Aquablation... los resultados a largo plazo convergen cuando la técnica es anatómica. "Enucleation is enucleation" no es un eslogan — es lo que dicen los datos. #BPH
3/5 Tranexámico intraoperatorio en pacientes anticoagulados: OR 0.17 para complicaciones hemorrágicas. 932 pacientes, 30 centros. Dato clínicamente muy aplicable. #Urología #EAU26
4/5 El 35,9 % de pacientes candidatos a enucleación prioriza la eyaculación entre sus 3 primeros outcomes. El 14,8 % de urólogos no lo mencionan en el consentimiento. Dato incómodo pero necesario.
5/5 LMU Munich documenta una década completa de transición de TURP a enucleación láser. En centros de alto volumen, el cambio ya ocurrió. La pregunta es cuándo llega al resto. 🔗 https://t.co/5JylwjAUqE #HoLEP
@JIgnacioAcuna Congratulations!
What were your sensations regarding speed for lithotripsy, enucleation phase and coagulation? Did you have to pass the bipolar resectoscope at the end?
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MiLEP stands for Minimally Invasive Laser Enucleation of the Prostate. It's a surgical procedure to treat benign prostatic hyperplasia (BPH) by using laser to remove enlarged prostate tissue with smaller instruments, reducing invasiveness and recovery time compared to traditional methods.
@MSGONZALEZURO declares:
"Prostate enucleation has already overcome the barrier of time as the best surgical treatment for BPH."
As advancements evolve, is this the gold standard?
What's your opinion fellow urologists, is #TURP dead ? ?
#Urology#BPH#EEPP@Endo_Society@drcristianouro
Seeing more patients post-aquablation with persistent gross hematuria and LUTS.
Here are some endoscopic images post-aquablation (6mo to a year ago). Most impressively, one patient had fused vessels across the aqua defect.
Now satisfied after salvage HoLEP! @NM_Urology
Defenders of the Detrusor!. United in a mission to preserve/retrieve bladder function in men with #BPH#BPO .BPO is not so benign after all! Left untreated it causes bladder damage & ultimately bladder failure & urinary retention. Early intervention makes a difference
I'm sharing images of my latest #HOLEP procedures, all performed with #MILEP The strengths, in my opinion, are: 1- gentler treatment of the urethra; 2- the ability to treat different sizes, even with a thinner 18.5 Fr sheath; 3- excellent visualization& irrigation
@fgomsan@MSGONZALEZURO@BernardoNor9@amy_krambeck Medication management perioperatively (anticoagulants, antithrombotics, antibiotics, others.
Postop indications (NSAIDS, anticholinergics, others)
TWOC same day / next day / more time in what cases.