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Table 1 Perioperative data (Varese, 2014)

From: Evaluation of the learning curve for thulium laser enucleation of the prostate with the aid of a simulator tool but without tutoring: comparison of two surgeons with different levels of endoscopic experience

 

Surgeon A

Surgeon B

Cases (n)

48

52

Median age (yrs, range)

71 (50–86)

68 (51–84)

Median Adenoma volume (TRUS, ml, range)

61 (30–130)

60 (30–105)

Median PSA (ng/dl, range)

6.32 (1.2–37.1)

5.98 (0.7–23.6)

I-PSS moderate/high

24/ 17 (7 n.v.)

25/ 17 (10 n.v.)

Median Surgical time (min, range)

92 (34–160)

86 (40–127)

Median Laser emission time (min, range)

28 (16–58,44)

24 (19–37,16)

Median Total energy delivered (J, range)

165,650 (84,820–386,920)

163,445 (87,540–358,327)

600 μm fiber use (no. cases)

18

11

800 μm fiber use (no. cases)

30

41

Intraoperative complications

•1 Bladder perforation

•1 Bladder perforation

•1 Intraoperative bleeding, with necessity to delay morcellation

Contemporary procedures

•3 bladder ELT

•2 URS

•5 bladder ELT

Reoperations

•1 Morcellation on first postoperative day

•1 Hemostatic TUR (first postoperative day)

•1 TURP for chronic retention (6 months later)

•1 Morcellation of a residual fragment (1 month later)

•1 Urethrotomy for bulbar urethral stenosis (9 months later)