Defining minimal invasive surgical therapy for benign prostatic obstruction surgery: Perspectives from a global knowledge, attitude, and practice survey

dc.authorid0000-0002-6308-1763
dc.contributor.authorCheng, Bryan Kwun-Chung
dc.contributor.authorYuen, Steffi Kar-Kei
dc.contributor.authorCastellani, Daniele
dc.contributor.authorWroclawski, Marcelo Langer
dc.contributor.authorZhao, Hongda
dc.contributor.authorChiruvella, Mallikarjuna
dc.contributor.authorChua, Wei -Jin
dc.contributor.authorTiong, Ho-Yee
dc.contributor.authorTanıdır, Yılören
dc.contributor.authorde la Rosette, Jean J. M. C. H.
dc.contributor.authorGauhar, Vineet
dc.date.accessioned2024-03-19T08:28:45Z
dc.date.available2024-03-19T08:28:45Z
dc.date.issued2024
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Uluslararası Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalı
dc.description.abstractObjective: To scrutinize the definitions of minimal invasive surgical therapy (MIST) and to investigate urologists' knowledge, attitudes, and practices for benign prostatic obstruction surgeries. Methods: A 36 -item survey was developed with a Delphi method. Questions on definitions of MIST and attitudes and practices of benign prostatic obstruction surgeries were included. Urologists were invited globally to complete the online survey. Consensus was achieved when more than or equal to 70% responses were "agree or strongly agree" and less than or equal to 15% responses were "disagree or strongly disagree" (consensus agree), or when more than or equal to 70% responses were "disagree or strongly disagree" and less than or equal to 15% responses were "agree or strongly agree" (consensus disagree). Results: The top three qualities for defining MIST were minimal blood loss (n=466, 80.3%), fast post -operative recovery (n=4 31, 74 .3%), and short hospital stay (n=425, 73.3%). The top three surgeries that were regarded as MIST were Urolift (R) (n=361, 62.2%), Rezum (R) (n=351, 60.5%), and endoscopic enucleation of the prostate (EEP) (n=332, 57.2%). Consensus in the knowledge section was achieved for the superiority of Urolift (R), Rezum (R), and iTIND (R) over transurethral resection of the prostate with regard to blood loss, recovery, day surgery feasibility, and post -operative continence. Consensus in the attitudes section was achieved for the superiority of Urolift (R), Rezum (R), and iTIND (R) over transurethral resection of the prostate with regard to blood loss, recovery, and day surgery feasibility. Consensus on both sections was achieved for EEP as the option with the better symptoms and flow improvement, lower retreatment rate, and better suitable for prostate more than 80 mL. Conclusion: Minimal blood loss, fast post -operative recovery, and short hospital stay were the most important qualities for defining MIST. Urolift (R), Rezum (R), and EEP were regarded as MIST by most urologists.
dc.identifier.citationCheng, B. K., Yuen, S. K., Castellani, D., Wroclawski, M. L., Zhao, H., Chiruvella, M. ... Gauhar, V. (2024). Defining minimal invasive surgical therapy for benign prostatic obstruction surgery: Perspectives from a global knowledge, attitude, and practice survey. Asian Journal of Urology, 11(1), 55-64. https://dx.doi.org/10.1016/j.ajur.2022.02.011
dc.identifier.doi10.1016/j.ajur.2022.02.011
dc.identifier.endpage64
dc.identifier.issn2214-3882
dc.identifier.issn2214-3890
dc.identifier.issue1
dc.identifier.pmid38312819
dc.identifier.startpage55
dc.identifier.urihttps://dx.doi.org/10.1016/j.ajur.2022.02.011
dc.identifier.urihttps://hdl.handle.net/20.500.12511/12374
dc.identifier.volume11
dc.identifier.wos001174632500001en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.institutionauthorde la Rosette, Jean J. M. C. H.
dc.language.isoen
dc.publisherElsevier (Singapore) Pte. Ltd.
dc.relation.ispartofAsian Journal of Urologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution-NonCommercial-NoDerivs 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectBenign Prostate Hyperplasia
dc.subjectMinimal Invasive Surgical Therapy
dc.subjectSurgery
dc.subjectBladder Outlet Obstruction
dc.titleDefining minimal invasive surgical therapy for benign prostatic obstruction surgery: Perspectives from a global knowledge, attitude, and practice survey
dc.typeArticle

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