PMID- 32643827
OWN - NLM
STAT- MEDLINE
DCOM- 20210621
LR  - 20210621
IS  - 1439-0272 (Electronic)
IS  - 0303-4569 (Linking)
VI  - 52
IP  - 8
DP  - 2020 Sep
TI  - Enucleation of the prostate: An anatomical perspective.
PG  - e13744
LID - 10.1111/and.13744 [doi]
AB  - Among transurethral surgery for benign prostatic hyperplasia (BPH), anatomical 
      endoscopic enucleation of the prostate (AEEP) differs from conventional 
      transurethral surgery as it adopts the same enucleation principle as open 
      surgery. AEEP is known as an effective and safe surgical method. However, the 
      learning curve is steep because the surgical anatomy is different from that of 
      conventional transurethral surgery. If information on surgical anatomy related to 
      enucleation is enriched and surgical standardisation is achieved, the learning 
      curve will be shortened and AEEP will become more widespread. The concept of AEEP 
      has been developed based on the surgical techniques obtained from holmium laser 
      enucleation of prostate (HoLEP). The original surgical technique of HoLEP is a 
      three-lobe technique. At the 12 o'clock position at the prostatic apex, the 
      boundary of the prostate capsule is unclear. Separating anterior prostatic tissue 
      from the prostatic capsule while preserving the sphincter in the apical area is 
      one of the biggest challenges in AEEP. During the AEEP procedure, an accurate 
      understanding of the surgical anatomy of the capsular plane, bladder neck, apical 
      sphincteric area and blood vessels is important. In this article, literature on 
      the anatomy related to enucleation in AEEP, mainly HoLEP, is reviewed and 
      discussed.
CI  - (c) 2020 Blackwell Verlag GmbH.
FAU - Oh, Seung-June
AU  - Oh SJ
AUID- ORCID: 0000-0002-0322-3539
AD  - Department of Urology, Seoul National University College of Medicine, Seoul 
      National University Hospital, Seoul, Korea.
FAU - Shitara, Toshiya
AU  - Shitara T
AUID- ORCID: 0000-0002-3663-6030
AD  - Department of Urology, Fuchinobe General Hospital, Sagamihara, Kanagawa, Japan.
LA  - eng
GR  - Korea Health Technology R&D Project/
GR  - HI15C1532/Ministry of Health & Welfare, Republic of Korea/
PT  - Journal Article
PT  - Review
DEP - 20200709
PL  - Germany
TA  - Andrologia
JT  - Andrologia
JID - 0423506
SB  - IM
MH  - Humans
MH  - *Laser Therapy
MH  - *Lasers, Solid-State/therapeutic use
MH  - Male
MH  - Prostatectomy
MH  - *Prostatic Hyperplasia/surgery
MH  - Treatment Outcome
OTO - NOTNLM
OT  - benign prostatic hyperplasia
OT  - holmium-YAG laser
OT  - prostatic adenoma
OT  - transurethral prostatectomy
EDAT- 2020/07/10 06:00
MHDA- 2021/06/22 06:00
CRDT- 2020/07/10 06:00
PHST- 2020/05/15 00:00 [received]
PHST- 2020/06/08 00:00 [revised]
PHST- 2020/06/10 00:00 [accepted]
PHST- 2020/07/10 06:00 [pubmed]
PHST- 2021/06/22 06:00 [medline]
PHST- 2020/07/10 06:00 [entrez]
AID - 10.1111/and.13744 [doi]
PST - ppublish
SO  - Andrologia. 2020 Sep;52(8):e13744. doi: 10.1111/and.13744. Epub 2020 Jul 9.