Nomenclature in thulium laser treatment of benign prostatic hyperplasia: it's time to pull the rabbit out of the hat.
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| Title: | Nomenclature in thulium laser treatment of benign prostatic hyperplasia: it's time to pull the rabbit out of the hat. |
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| Authors: | Maruccia, Serena1, Fulgheri, Irene2, Montanari, Emanuele3, Casellato, Stefano1, Boeri, Luca3 dr.lucaboeri@gmail.com |
| Source: | Lasers in Medical Science. Sep2021, Vol. 36 Issue 7, p1355-1367. 13p. |
| Subjects: | Thulium, Benign prostatic hyperplasia, Cell enucleation, Vaporization, Lasers |
| Abstract: | We performed a narrative review with the focus on laser settings and surgical procedure with thulium laser. Our primary goal was to define the most valid settings of each surgical procedure to overcome the inconsistency about nomenclature of thulium surgery and to ensure comparability of future publications. A literature search of articles on thulium laser treatment of benign prostatic hyperplasia (BPH) was conducted between 2009 and 2019. We proposed a new classification standard for laser settings and associated surgical procedure. Each article was analyzed and categorized as concordant or discordant referring to the new classification. In total, 74 papers were included in this narrative review. Overall, 43% and 42% of included studies reported discordant laser parameters and surgical description, respectively. Most of the studies on vaporization were categorized as discordant because they reported a medium/low laser setting instead of high power. Conversely, 93.3% of studies on enucleation were deemed as discordant for laser setting because they reported high power parameters instead of medium-low power setting. Most of the studies on laser enucleation and vapo/enucleation were considered discordant for surgical procedure since authors did not mention the use of mechanical vs. laser method for enucleation. The current literature lacks a uniform definition and standardization of the terminology of thulium laser settings and surgical techniques to guarantee comparability between different approaches. We found a huge heterogeneity in 10 years of surgery with thulium laser. We proposed a new classification of laser setting and procedural description for categorization of thulium laser surgery for BPH. [ABSTRACT FROM AUTHOR] |
| Copyright of Lasers in Medical Science is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Engineering Source |
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| Header | DbId: egs DbLabel: Engineering Source An: 151838872 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Nomenclature in thulium laser treatment of benign prostatic hyperplasia: it's time to pull the rabbit out of the hat. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Maruccia%2C+Serena%22">Maruccia, Serena</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Fulgheri%2C+Irene%22">Fulgheri, Irene</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Montanari%2C+Emanuele%22">Montanari, Emanuele</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Casellato%2C+Stefano%22">Casellato, Stefano</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Boeri%2C+Luca%22">Boeri, Luca</searchLink><relatesTo>3</relatesTo><i> dr.lucaboeri@gmail.com</i> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Lasers+in+Medical+Science%22">Lasers in Medical Science</searchLink>. Sep2021, Vol. 36 Issue 7, p1355-1367. 13p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Thulium%22">Thulium</searchLink><br /><searchLink fieldCode="DE" term="%22Benign+prostatic+hyperplasia%22">Benign prostatic hyperplasia</searchLink><br /><searchLink fieldCode="DE" term="%22Cell+enucleation%22">Cell enucleation</searchLink><br /><searchLink fieldCode="DE" term="%22Vaporization%22">Vaporization</searchLink><br /><searchLink fieldCode="DE" term="%22Lasers%22">Lasers</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: We performed a narrative review with the focus on laser settings and surgical procedure with thulium laser. Our primary goal was to define the most valid settings of each surgical procedure to overcome the inconsistency about nomenclature of thulium surgery and to ensure comparability of future publications. A literature search of articles on thulium laser treatment of benign prostatic hyperplasia (BPH) was conducted between 2009 and 2019. We proposed a new classification standard for laser settings and associated surgical procedure. Each article was analyzed and categorized as concordant or discordant referring to the new classification. In total, 74 papers were included in this narrative review. Overall, 43% and 42% of included studies reported discordant laser parameters and surgical description, respectively. Most of the studies on vaporization were categorized as discordant because they reported a medium/low laser setting instead of high power. Conversely, 93.3% of studies on enucleation were deemed as discordant for laser setting because they reported high power parameters instead of medium-low power setting. Most of the studies on laser enucleation and vapo/enucleation were considered discordant for surgical procedure since authors did not mention the use of mechanical vs. laser method for enucleation. The current literature lacks a uniform definition and standardization of the terminology of thulium laser settings and surgical techniques to guarantee comparability between different approaches. We found a huge heterogeneity in 10 years of surgery with thulium laser. We proposed a new classification of laser setting and procedural description for categorization of thulium laser surgery for BPH. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Lasers in Medical Science is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s10103-020-03227-4 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 13 StartPage: 1355 Subjects: – SubjectFull: Thulium Type: general – SubjectFull: Benign prostatic hyperplasia Type: general – SubjectFull: Cell enucleation Type: general – SubjectFull: Vaporization Type: general – SubjectFull: Lasers Type: general Titles: – TitleFull: Nomenclature in thulium laser treatment of benign prostatic hyperplasia: it's time to pull the rabbit out of the hat. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Maruccia, Serena – PersonEntity: Name: NameFull: Fulgheri, Irene – PersonEntity: Name: NameFull: Montanari, Emanuele – PersonEntity: Name: NameFull: Casellato, Stefano – PersonEntity: Name: NameFull: Boeri, Luca IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 09 Text: Sep2021 Type: published Y: 2021 Identifiers: – Type: issn-print Value: 02688921 Numbering: – Type: volume Value: 36 – Type: issue Value: 7 Titles: – TitleFull: Lasers in Medical Science Type: main |
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