Transurethral Enucleation With Bipolar Energy (TUEB):AINU Technique and Short-term Outcomes

Urology. 2018 Dec:122:147-151. doi: 10.1016/j.urology.2018.09.001. Epub 2018 Sep 13.

Abstract

Objective: To present our transurethral enucleation with bipolar energy (TUEB) technique, wherein the enucleated adenoma is resected while keeping it attached near the verumontanum avoiding the need of a morcellator, and to evaluate the safety and short-term outcomes of our technique of TUEB for the treatment of symptomatic benign prostatic hypertrophy (BPH).

Methods: This was a retrospective evaluation of prospectively maintained database of patients with symptomatic BPH who underwent TUEB from January 2016 to September 2017. Patients with a minimum follow-up period of 6 months were included in the study. All patients were assessed using the international prostate symptom score (IPSS), uroflometry (Q-max), and transrectal ultrasonography (TRUS) of the prostate. TUEB was indicated for patients with total prostate volumes >60 g on TRUS. Postoperative outcome measures, including urinary incontinence, Q-max, and IPSS, were recorded at each follow-up visit.

Results: A total of 103 patients underwent TUEB. The mean patient age was 64 ± 7 years, and the median operative time was 54 minutes (interquartile range [IQR]: 44-66). The median resected prostate weight was 39 g (IQR: 28-54 g), corresponding to approximately 87% of the assessed transitional zone volume. The mean postoperative hemoglobin drop of 1.08 ± 0.28 g/dL was clinically insignificant. There was significant improvement in the IPSS and Q-max postoperatively, when compared to baseline parameters (P < .05).

Conclusion: Our TUEB technique is safe and effective in treating symptomatic BPH with acceptable complications and favorable short-term outcomes. TUEB allows near-complete enucleation of a prostate adenoma, followed by resection, thus avoiding the need for a morcellator.

MeSH terms

  • Aged
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Operative Time
  • Postoperative Period
  • Prostate / diagnostic imaging
  • Prostate / surgery
  • Prostatic Hyperplasia / surgery*
  • Retrospective Studies
  • Transurethral Resection of Prostate / adverse effects
  • Transurethral Resection of Prostate / instrumentation
  • Transurethral Resection of Prostate / methods*
  • Treatment Outcome
  • Ultrasonography
  • Urodynamics