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J Clin Med. 2020 Mar 27;9(4). doi: 10.3390/jcm9040917.

Thulium Laser Vapoenucleation of the Prostate (ThuVEP) in Men at High Cardiovascular Risk and on Antithrombotic Therapy: A Single-Center Experience.

Journal of clinical medicine

Daniele Castellani, Mirko Di Rosa, Luca Gasparri, Michele Pucci, Marco Dellabella

Affiliations

  1. Department of Urology, IRCCS INRCA, 60127 Ancona, Italy.
  2. Unit of Geriatric Pharmacoepidemiology, IRCCS INRCA, 60127 Ancona, Italy.

PMID: 32230842 PMCID: PMC7231078 DOI: 10.3390/jcm9040917

Abstract

Bleeding is the most common complication of transurethral resection of the prostate and simple open prostatectomy, especially in men on antiplatelet/anticoagulant therapy. The present study aimed to evaluate the safety and effectiveness of thulium laser vapoenucleation of the prostate (ThuVEP) for benign prostatic hyperplasia in patients on chronic antithrombotic medications. Between January 2015 and December 2019, 88 men underwent the procedure under antithrombotic agents in our center. The mean age was 74.7 ± 6.1 years. Median prostate volume was 66.5 mL. Patients on oral anticoagulants were bridged to low-molecular-weight heparin (

Keywords: ThuVEP; aging; anticoagulants; benign prostatic hyperplasia; intraoperative complications; laser therapy; platelet aggregation inhibitors; postoperative complications; prostatectomy

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