Thulium laser enucleation of the prostate (ThuLEP) is a highly effective approach to the treatment of benign prostatic hyperplasia. We present here a description of the “ARTh Technique” and the benefits it offers in terms of improved visualization, short operation times, and easy recognition of the dissection plane, describing specifically the anterior release (AR) technique using ThuLEP(Th). Included in this retrospective study were 32 consecutive patients operated on between January 2022-November 2022. Parameters were measured before and after the procedure: the International Prostate Symptom Score(IPSS), maximum flow rate(Qmax), post-void residual urine(PVR) prostate-specific antigen(PSA), prostate volume, operation-time, morcellation-time, catheterization-time and presence of transient urinary incontinence, and compared. The median age of patients undergoing enucleation of the prostate using the ARTh technique was 64 years (range: 44–83). The median prostate volume of the patients was 83.5 ml(50–128 ml), preoperative-IPSS was 24.8(15–33), postoperative-IPSS was 7(5–11), preoperative-Qmax was 8.1 ml/Sects. (5–11.5 ml/sec), postoperative-Qmax was 26.9 ml/Sect. (20.8–34 ml/sec), preoperative-PVR was 145 ml(75–258 ml), postoperative-PVR was 36.2 ml(0–66 ml), total operation time was 51.4 min(28–82 min), enucleation time was 36.9 min(19–51 min) and morcellation time was 15.3 min(8–27 min). The ARTh technique is a safe procedure that allows the surgeon to easily recognize and adhere to the defined dissection plane, thus decreasing operation times, significantly reducing the rate of postoperative transient urinary incontinence (TUI).

铥激光前列腺剜除术（ThuLEP）是治疗良性前列腺增生的一种高效方法。我们在此介绍“ARTh 技术”及其在改善可视化、缩短操作时间和轻松识别解剖平面方面所提供的优势，特别描述了使用 ThuLEP(Th) 的前部释放 (AR) 技术。这项回顾性研究包括 2022 年 1 月至 2022 年 11 月期间连续接受手术的 32 名患者。手术前后测量参数：国际前列腺症状评分 (IPSS)、最大尿流率 (Qmax)、排尿后残余尿 (PVR) ) 前列腺特异性抗原 (PSA)、前列腺体积、手术时间、粉碎时间、导尿时间和暂时性尿失禁的存在情况，并进行比较。使用 ARTh 技术接受前列腺剜除术的患者的中位年龄为 64 岁（范围：44-83 岁）。患者中位前列腺体积为83.5 ml（50-128 ml），术前-IPSS为24.8（15-33），术后-IPSS为7（5-11），术前-Qmax为8.1 ml/Sects。 （5-11.5 毫升/秒），术后 Qmax 为 26.9 毫升/秒。 (20.8–34 ml/sec)，术前 PVR 145 ml(75–258 ml)，术后 PVR 36.2 ml(0–66 ml)，总手术时间 51.4 min(28–82 min)，摘除时间粉碎时间为 36.9 分钟（19-51 分钟），粉碎时间为 15.3 分钟（8-27 分钟）。 ARTh技术是一种安全的手术，可以让外科医生轻松识别并遵守定义的解剖平面，从而减少手术时间，显着降低术后短暂性尿失禁（TUI）的发生率。