A Delphi consensus to standardize the technique of anatomical endoscopic enucleation of prostate: a study by ESUT endoscopic enucleation of prostate study group

Basit Öğe Kaydı
dc.contributor.authorTunc, Lutfi
dc.contributor.authorHerrmann, Thomas
dc.contributor.authorGuven, Selcuk
dc.contributor.authorScoffone, Cesare Marco
dc.contributor.authorBozzini, Giorgio
dc.contributor.authorYilmaz, Sercan
dc.contributor.authorRomero-Otero, Javier
dc.date.accessioned2024-02-23T13:43:45Z
dc.date.available2024-02-23T13:43:45Z
dc.date.issued2023
dc.departmentNEÜen_US
dc.description.abstractPurposeOur objective was to establish a standardized technique for Anatomical Endoscopic Enucleation of Prostate (AEEP) utilizing a consensus statement to provide robust recommendations for urologists who are new to this procedure.MethodsThe participants were electronically sent a questionnaire in three consecutive rounds. In the second and third rounds, the anonymous aggregate results of the previous round were presented. Experts' feedback and comments were then incorporated to refine existing questions or to explore more controversial topics in greater depth.ResultsForty-one urologists participated in the first round. In the second round, all Round 1 participants received a 22-question survey, resulting in a consensus on 21 items. In the third round, 76% (19/25) of the second-round respondents also participated, reaching a consensus on 22 additional items. The panelists consensually agreed on detaching the urethral sphincter at the beginning of the enucleation and not at the end of the enucleation. To prevent incontinence, it was recommended that the apical mucosa be preserved through various approaches between 11 and 1 o'clock while gently disrupting the lateral lobes in their apical part, avoiding an excess energy delivery approximation to the apical mucosa.ConclusionTo optimize laser AEEP procedures, urologists must follow expert guidelines on equipment and surgical technique, including early apical release, using the 3-lobe technique for enucleation, preserving apical mucosa with appropriate approaches, gently disrupting lateral lobes at their apical regions, and avoiding excessive energy delivery near the apical mucosa. Following these recommendations can lead to improved outcomes and patient satisfaction.en_US
dc.identifier.doi10.1007/s00345-023-04496-8
dc.identifier.endpage2309en_US
dc.identifier.issn0724-4983
dc.identifier.issn1433-8726
dc.identifier.issue9en_US
dc.identifier.pmid37421419en_US
dc.identifier.scopus2-s2.0-85164200647en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage2303en_US
dc.identifier.urihttps://doi.org/10.1007/s00345-023-04496-8
dc.identifier.urihttps://hdl.handle.net/20.500.12452/10905
dc.identifier.volume41en_US
dc.identifier.wosWOS:001024243300002en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofWorld Journal Of Urologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAnatomical Endoscopic Enucleation Of Prostate (Aeep)en_US
dc.subjectTechniqueen_US
dc.subjectEquipmenten_US
dc.subjectExpert Recommendationsen_US
dc.subjectAeep Energy Sourcesen_US
dc.subjectAeep Outcomesen_US
dc.titleA Delphi consensus to standardize the technique of anatomical endoscopic enucleation of prostate: a study by ESUT endoscopic enucleation of prostate study groupen_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayın Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu