Role of laparoscopy in the treatment of benign prostatic hyperplasia: LATAM experience

Authors

  • Helen Daiana Silva-Araujo Hospital de Clínicas Dr. Manuel Quintela, Cátedra de Urología, Montevideo, UruguayHospital de Clínicas Dr. Manuel Quintela, Cátedra de Urología, Montevideo, Uruguay.
  • Mariana Barreto-Gutiérrez Hospital de Clínicas Dr. Manuel Quintela, Cátedra de Urología, Montevideo, Uruguay
  • Olga Carolina Flores-Fernández Hospital de Clínicas Dr. Manuel Quintela, Cátedra de Urología, Montevideo, Uruguay
  • Miriam Virginia Rodríguez-Fernández Hospital de Clínicas Dr. Manuel Quintela, Cátedra de Urología, Montevideo, Uruguay

DOI:

https://doi.org/10.48193/revistamexicanadeurologa.v82i3.876

Keywords:

Hiperplasia prostática abierta, adenomectomía laparoscópica

Abstract

 

Objectives: research what is the actual role of the laparoscopic approach in the treatment of benign prostatic hyperplasia, in daily practice of Latin American urologists.

Materials and methods: an online survey was conducted during the period June - September 202, send to all members of the Confederación Americana de Urología, through its official networks.

Results: laparoscopic adenomectomy is not the preferred approach for the treatment of prostates larger than 100g (4% vs 76% for open adenomectomy), most respondents never performed this technique (76%), however, urologists recognize that the laparoscopic approach has benefits over the open approach (64%).

Conclusions: although the laparoscopic approach has shown clear benefits in terms of surgical morbidity compared to the open approach, for most Latin American urologists, the technique has not yet been implemented in routine daily practice, being an unknown technique for most of respondents.

References

Wein AJ, Kavoussi LR, Partin AW, Peters CA. Campbell-Walsh Urology 12th Edition Review. Elsevier Health Sciences; 2020. 624 p.

Mariano MB, Graziottin TM, Tefilli MV. Laparoscopic Prostatectomy With Vascular Control for Benign Prostatic Hyperplasia. Journal of Urology. 2002 Jun 1;167(6):2528–9. doi: 10.1016/S0022-5347(05)65025-2

van Velthoven R, Peltier A, Laguna MP, Piechaud T. Laparoscopic extraperitoneal adenomectomy (Millin): pilot study on feasibility. Eur Urol. 2004 Jan;45(1):103–9; discussion 109. doi: https://doi.org/10.1016/j.eururo.2003.07.002

Sotelo R, Clavijo R, Carmona O, Garcia A, Banda E, Miranda M, et al. Robotic simple prostatectomy. J Urol. 2008 Feb;179(2):513–5. doi: https://doi.org/10.1016/j.juro.2007.09.065

Porpiglia F, Checcucci E, Amparore D, Niculescu G, Volpi G, Piramide F, et al. Urethral-sparing Robot-assisted Simple Prostatectomy: An Innovative Technique to Preserve Ejaculatory Function Overcoming the Limitation of the Standard Millin Approach. Eur Urol. 2021 Aug;80(2):222–33. doi: https://doi.org/10.1016/j.eururo.2020.09.028

Garcia-Segui A, Angulo JC. Estudio prospectivo comparativo entre adenomectomía laparoscópica y abierta: resultados operatorios y funcionales. Actas Urológicas Españolas. 2017 Jan 1;41(1):47–54. doi: https://doi.org/10.1016/j.acuro.2016.04.008

Lusuardi L, Hruby S, Janetschek G, Mitterberger M, Sieberer M, Colleselli D, et al. Laparoscopic adenomectomy versus Eraser laser enucleation of the prostate. World J Urol. 2015 May 1;33(5):691–6. doi: 10.1007/s00345-014-1476-1

Autorino R, Zargar H, Mariano MB, Sanchez-Salas R, Sotelo RJ, Chlosta PL, et al. Perioperative Outcomes of Robotic and Laparoscopic Simple Prostatectomy: A European-American Multi-institutional Analysis. Eur Urol. 2015 Jul;68(1):86–94. doi: https://doi.org/10.1016/j.eururo.2014.11.044

Garcia-Segui A, Verges A, Galán-Llopis JA, Garcia-Tello A, Ramón de Fata F, Angulo JC. Adenomectomía laparoscópica extraperitoneal «sin nudos». Actas Urol Esp. 2015 Mar 1;39(2):128–36. doi: https://doi.org/10.1016/j.acuro.2014.05.011

Castillo C O, Degiovani M D, Sánchez-Salas R, Vidal M I, Vitagliano G, Díaz C M, et al. Prostatectomía simple (adenomectomía) laparoscópica. Revista chilena de cirugía. 2008 Oct;60(5):387–92. doi: http://dx.doi.org/10.4067/S0718-40262008000500004

Zhou L-Y, Xiao J, Chen H, Zhu Y-P, Sun Y-W, Xuan Q. Extraperitoneal laparoscopic adenomectomy for benign prostatic hyperplasia. World J Urol. 2009 Jun;27(3):385–7. doi: https://doi.org/10.1007/s00345-008-0359-8

Lucca I, Shariat SF, Hofbauer SL, Klatte T. Outcomes of minimally invasive simple prostatectomy for benign prostatic hyperplasia: a systematic review and meta-analysis. World J Urol. 2015 Apr 1;33(4):563–70. doi: https://doi.org/10.1007/s00345-014-1324-3

Pavan N, Zargar H, Sanchez-Salas R, Castillo O, Celia A, Gallo G, et al. Robot-assisted Versus Standard Laparoscopy for Simple Prostatectomy: Multicenter Comparative Outcomes. Urology. 2016 May;91:104–10. doi: https://doi.org/10.1016/j.urology.2016.02.032

Xie J, Tan Y, Wang F, Xuan Q, Sun Y, Xiao J, et al. Extraperitoneal laparoscopic adenomectomy (Madigan) versus bipolar transurethral resection of the prostate for benign prostatic hyperplasia greater than 80 ml: complications and functional outcomes after 3-year follow-up. J Endourol. 2014 Mar;28(3):353–9. doi: https://doi.org/10.1089/end.2013.0374

Published

2022-06-30

Issue

Section

Original articles