Prostat Cerrahisinde Enükleasyon Teknikleri
Benign prostat hiperplazisi (BPH) erkeklerin hayat kalitesini azaltanve sık görülen ürolojik bir hastalıktır. Özellikle hayatın 4. dekatındansonra görülme prevelansı artmaktadır. Tedavide ilaçlardan yeterliyanıt alınamıyorsa mutlaka hastalara uygun cerrahi yöntemler önerilmelidir.Günümüzde çeşitli cerrahi teknikler uygulanmaktadır. AvrupaÜroloji Derneğinin kılavuzunda 30-80 ml arası prostat hacimlerindealtın standart cerrahi tedavi olarak Transüretral Prostat Rezeksiyonu(TUR-P) önerilmektedir. Prostat hacimleri 80 ml. üzerindeolan hastalar için ilk seçenek açık prostatektomi, holmiyum lazer veya bipolar enükleasyon gibi endoskopik yöntemlerdir. Fakat açıkprostatektominin yüksek oranda peri ve postoperatif morbiditeleribulunmaktadır.Bu derlemenin amacı, BPH' nin cerrahi tedavisinde 80 ml üzeri prostatlardauygulanan açık prostatektominin yerini almaya başlamışenükleasyon tedavi şekillerini incelemektir.
Enucleation Techniques In Prostate Surgery
Benign prostate hyperplasia (BPH) is a common urologic disease that lows the quality in men's life. Especially after the 4th decade of life the prevelance of BPH is increasing. If the medication is not enough in the treatment than suitable surgical procedures must be recommended to the patients. In present there is different surgical techniques performing. The European Assocaiation of Urology guideline recommends Transurethal Resection of Prostate (TUR-P) as a gold standart for men with prostate sizes of 30-80 ml. When the prostate size is over than 80 ml. open prostatectomy or endoscopic enucleation of prostate such as holmium laser or bipolar enucleation are the first choices. But open prostatectomy has high perioperative and postoperative morbidity. In this review our goal is eveluating the endoscopic enucleation techniques of prostate which begin to replace of open prostatectomy in the treatment of BPH over 80 ml.
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