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https://www.readbyqxmd.com/read/28532766/morcellation-efficiency-in-holmium-laser-enucleation-of-the-prostate-oscillating-morcellator-outperforms-reciprocating-morcellator-with-no-apparent-learning-curve
#1
Sean McAdams, Rafael Nunez-Nateras, Christopher J Martin, Stephen Cha, Mitchell R Humphreys
OBJECTIVE: To compare the morcellation efficiency of the Wolf® Piranha™ oscillating morcellator to the Lumenis® VersaCut™ reciprocating morcellator. METHODS: After IRB approval, we conducted a retrospective analysis of patients undergoing HoLEP for symptomatic benign prostatic hyperplasia. The first 41 cases of HoLEP with morcellation performed with the oscillating morcellator were matched by weight of resected tissue to 41 control patients from our historic data set that underwent morcellation with the reciprocating system...
May 19, 2017: Urology
https://www.readbyqxmd.com/read/28516315/-finding-the-needle-in-a-haystack-oncologic-evaluation-of-patients-treated-for-luts-with-holmium-laser-enucleation-of-the-prostate-holep-versus-transurethral-resection-of-the-prostate-turp
#2
Annika Herlemann, Kerstin Wegner, Alexander Roosen, Alexander Buchner, Philipp Weinhold, Alexander Bachmann, Christian G Stief, Christian Gratzke, Giuseppe Magistro
PURPOSE: To evaluate oncologic parameters of men with bothersome LUTS undergoing surgical treatment with HoLEP or TURP. METHODS: Five hundred and eighteen patients undergoing HoLEP (n = 289) or TURP (n = 229) were retrospectively analyzed for total PSA, prostate volume, PSA density, history of prostate biopsy, resected prostate weight, and histopathological features. Univariate and multivariate logistic regression models were used to identify independent predictors of incidental PCa (iPCa)...
May 17, 2017: World Journal of Urology
https://www.readbyqxmd.com/read/28497447/holmium-laser-enucleation-of-the-prostate-holep-for-small-large-and-giant-prostatic-hyperplasia-tips-and-tricks
#3
Petr V Glybochko, Leonid M Rapoport, Mikhail E Enikeev, Dmitry V Enikeev
INTRODUCTION: Holmium laser enucleation of the prostate (HoLEP) allows to treat extremely large prostates (>200 cm3). The aim of the study was to compare the efficiency of HoLEP for prostates of different sizes. METHODS: Four hundred and fifty-nine patients were divided into three groups: group 1 included 278 patients (<100 cm3); group 2 included 169 patients (100-200 cm3); group 3 included 12 patients (>200 cm3). RESULTS: The duration of enucleation in group 1 was 56...
May 10, 2017: Urologia
https://www.readbyqxmd.com/read/28495071/perioperative-and-economic-analysis-of-surgical-treatments-for-benign-prostatic-hyperplasia-a-study-of-the-french-committee-on-lut
#4
R Mathieu, S Lebdai, J N Cornu, A Benchikh, A R Azzouzi, N B Delongchamps, O Dumonceau, A Faix, M Fourmarier, O Haillot, B Lukacs, V Misrai, A de La Taille, G Robert, A Descazeaud
PURPOSE: To evaluate perioperative cost related to surgical treatments of benign prostatic obstruction (BPO): photoselective vaporization of the prostate (pvp), holmium/thullium laser enucleation (HoLEP/ThuLEP), transurethral resection of the prostate (TURP) and open prostatectomy (OP). MATERIAL AND METHODS: We retrospectively collected data from 237 patients who consecutively underwent a surgical treatment for BPH between January 2012 and June 2013 at nine institutions in France...
May 2017: Progrès en Urologie
https://www.readbyqxmd.com/read/28480346/measuring-change-in-prostate-size-after-holmium-laser-enucleation-a-prospective-study
#5
Jin Kyu Oh, Kwang-Pil Ko, Seung-June Oh
PURPOSE: To analyze postoperative outcomes of prostate surgery, resected specimen weight is commonly used. The difference between the preoperative calculated transitional zone volume and actual enucleated specimen weight following holmium laser enucleation of the prostate (HoLEP) is reported at over 20%. The reason for this difference is unclear. We assessed the association of volume of the prostatic adenoma with enucleated weight, the volume and calculated volume of the adenoma by pre- and postoperative ultrasonographic measurement...
May 2017: Investigative and Clinical Urology
https://www.readbyqxmd.com/read/28456634/does-the-surgeon-s-experience-affect-operation-times-adverse-events-and-continence-outcomes-in-holep-a-review-of-over-1000-cases
#6
Katsumi Shigemura, Fukashi Yamamichi, Koichi Kitagawa, Masuo Yamashita, Yasuhiko Oka, Hirokazu Tanaka, Masato Fujisawa
PURPOSE: Holmium Laser Enucleation of the Prostate (HoLEP) has become an increasingly common surgical therapy for benign prostate hyperplasia. However, the relationship between the surgeon's experience and surgical outcomes have not yet been fully investigated. In this study, we investigated how the surgeons' experience in HoLEP affected operation times, adverse events and outcomes related to urination. MATERIALS AND METHODS: We gathered 1,113 HoLEP cases from 5 different hospitals in Hyogo prefecture, Japan, including data on the surgeon's HoLEP experience, operation time, enucleation time, morcellation time, patient's age, surgery-related complications (peri- and post-operative) and outcomes related to urination...
April 26, 2017: Journal of Urology
https://www.readbyqxmd.com/read/28435788/laparoscopic-repair-of-a-vesicosigmoid-fistula-secondary-to-holmium-laser-enucleation-of-the-prostate-holep
#7
JiHun Kang, EuiChul Jung, YeonJin Jeon, InKyu Park, Hyeong Gon Lee
Holmium Laser Enucleation of the Prostate (HoLEP) is a safe and effective treatment option for benign prostatic hyperplasia. However, in some cases, it can lead to life-threatening complications. In particular, morcellation of the resected adenoma may be a very dangerous procedure when performed without clear visualization. We describe the first reported case of a vesicosigmoid fistula secondary to a morcellation injury during HoLEP.
July 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28392430/-prospective-evaluation-of-the-direct-costs-of-prostate-enucleation-by-the-holep-%C3%A2-laser-during-the-learning-curve-period
#8
M Roger, M Goris-Gbenou, A Guillermet, R Vial, N Cunin, J Tomas, L Bourgue, M Combe, J-G Lopez, C Combe
OBJECTIVE: Holmium laser enucleation of the prostate (HoLEP) has been shown to be effective in treating large prostates compared to prostate transurethral resection (TURP). There are no published data evaluating specifically the impact of the learning curve on the direct costs of HoLEP. The objective of this study was to evaluate the direct costs generated by the use of HoLEP laser during the learning curve period. METHOD: The costs of all medical devices (DM) and drugs used, pre- and post-operative parameters during surgery have been prospectively collected between March and October 2016...
April 6, 2017: Progrès en Urologie
https://www.readbyqxmd.com/read/28368238/functional-outcomes-and-complications-following-b-turp-versus-holep-for-the-treatment-of-benign-prostatic-hyperplasia-a-review-of-the-literature-and-meta-analysis
#9
Xiaoqiang Qian, Hailong Liu, Ding Xu, Le Xu, Fang Huang, Wei He, Jun Qi, Yu Zhu, Danfeng Xu
OBJECTIVE: To conduct a systematic review and Meta-analysis of the literature on the efficacy and safety of B-TURP versus HoLEP for the treatment of benign prostatic hyperplasia (BPH) in terms of demographic and clinical baseline characteristics, peri-operative variables, and postoperative outcomes and complications. METHODS: Trials comparing B-TURP and HoLEP were identified systematically using Pubmed, Embase, CNKI, Web of Science and the Cochrane Library. Primary outcomes were the peak urinary flow rate (Qmax), post-void residual volume (PVR) and international prostate symptom score (IPSS)...
April 3, 2017: Aging Male: the Official Journal of the International Society for the Study of the Aging Male
https://www.readbyqxmd.com/read/28361512/comparison-of-surgical-outcomes-between-holmium-laser-enucleation-and-transurethral-resection-of-the-prostate-in-patients-with-detrusor-underactivity
#10
Myeong Jin Woo, Yun-Sok Ha, Jun Nyung Lee, Bum Soo Kim, Hyun Tae Kim, Tae-Hwan Kim, Eun Sang Yoo
PURPOSE: Currently, holmium laser enucleation of the prostate (HoLEP) and transurethral resection of the prostate (TURP) are the standard surgical procedures used to treat benign prostatic hyperplasia (BPH). Several recent studies have demonstrated that the surgical management of BPH in patients with detrusor underactivity (DU) can effectively improve voiding symptoms, but comparative data on the efficacy of HoLEP and TURP are insufficient. Therefore, we compared the short-term surgical outcomes of HoLEP and TURP in patients with DU...
March 24, 2017: International Neurourology Journal
https://www.readbyqxmd.com/read/28361474/metabolic-syndrome-is-predictive-of-lower-urinary-tract-symptom-improvement-after-holmium-laser-enucleation-of-the-prostate-for-benign-prostatic-obstruction
#11
Taekmin Kwon, Sejun Park, Sungchan Park, Kyung Hyun Moon
PURPOSE: To investigate the effect of metabolic syndrome (MS) on patient outcomes who underwent holmium laser enucleation of the prostate (HoLEP) for benign prostatic obstruction. MATERIALS AND METHODS: Data from 151 patients who underwent HoLEP by a single surgeon between March 2012 and March 2016 were retrospectively analyzed. Patients with MS were assigned to group 1 (n = 33) and patients without MS in group 2 (n = 118). Clinical characteristics and the International Prostate Symptom Score (IPSS), including quality of life (QoL), peak urinary flow rate (Qmax), and postvoid residual urine (PVR), before surgery and 3 months afterward were compared between groups...
March 30, 2017: International Urology and Nephrology
https://www.readbyqxmd.com/read/28332895/comorbidities-as-predictors-of-incidental-prostate-cancer-after-holmium-laser-enucleation-of-the-prostate-diabetes-and-high-risk-cancer
#12
Kazuhiro Ohwaki, Fumiyasu Endo, Masaki Shimbo, Akiko Fujisaki, Kazunori Hattori
Prostate cancer can be diagnosed as an incidental finding during the pathological examination of benign prostatic hyperplasia (BPH) specimens by Holmium laser enucleation of the prostate (HoLEP). BPH and comorbidities such as hypertension, diabetes, and dyslipidemia often coexist in elderly people. We identified which comorbidities can be used to predict the presence of incidental prostate cancer, particularly high-risk cancer, in men who had undergone HoLEP. On the basis of pathological findings of HoLEP specimens, patients with incidental cancer were categorized as low-risk (Gleason ≤6 and T1a) or high-risk (all others)...
March 23, 2017: Aging Male: the Official Journal of the International Society for the Study of the Aging Male
https://www.readbyqxmd.com/read/28247728/-holmium-laser-enucleation-of-the-prostate-holep-for-small-large-and-giant-prostatic-hyperplasia-practice-guidelines-experience-of-more-than-450-surgeries
#13
D V Enikeev, P V Glybochko, Yu G Alyaev, L M Rapoport, M E Enikeev, D G Tsarichenko, N I Sorokin, R B Sukhanov, A M Dimov, O Kh Khamraev, D S Davydov, M S Taratkin, R R Simberdeev
INTRODUCTION: and objectives. Most of modern endoscopic procedures (e.g., TURP) are only confined to small and medium-sized glands (up to 80 cm3), but not HoLEP, which allows to enucleate large and extremely large prostates (200 cm3). The aim of the study was to compare the efficiency of HoLEP for prostates of different sizes. METHOD: s. A total of 459 patients were divided into three groups: Group 1 included 278 patients (prostate volume <100 cm3); mean prostate volume, 70...
August 2016: Urologii︠a︡
https://www.readbyqxmd.com/read/28216929/outcomes-of-transurethral-resection-and-holmium-laser-enucleation-in-more-than-60-g-of-prostate-a-prospective-randomized-study
#14
Ankur Jhanwar, Rahul J Sinha, Ankur Bansal, Gaurav Prakash, Kawaljit Singh, Vishwajeet Singh
AIM: Transurethral resection of prostate (TURP) is considered a gold standard surgical procedure. The management of benign prostatic hyperplasia (BPH) has undergone tremendous change in recent years and shifted from open to minimal invasive procedure. With the advancement in technology and skills of surgeons, lasers have been used more liberally, particularly holmium laser. Holmium laser enucleation of prostate (HoLEP) is seen as close rival of TURP. The objective if this study is to observe long- and short-term outcomes of transurethral resection and holmium laser enucleation in the prostate of more than 60 g...
January 2017: Urology Annals
https://www.readbyqxmd.com/read/28150483/from-gold-standard-resection-to-reproducible-future-standard-endoscopic-enucleation-of-the-prostate-eep-what-we-know-about-anatomical-enucleation
#15
Richard Naspro, Fernando Gomez Sancha, Michele Manica, Agostino Meneghini, Sascha Ahyai, Tevita Aho, Cristian Fiori, Ivano Vavassori, Luigi F DA Pozzo, Vito Pansadoro, Francesco Montorsi, Thomas R Herrmann
INTRODUCTION: Open prostatectomy (OP) and transurethral resection of the prostate (TURP) have traditionally been the most common surgical approaches for the treatment of benign prostatic hyperplasia causing bladder outlet obstruction and have certainly passed the test of time. In time, many endoscopic surgical procedures have been described as an alternative mini-invasive treatment. Holmium laser enucleation (HoLEP) guaranteed functional outcomes similar to OP and TURP with lower peri-operative complication rates for any prostate size...
February 1, 2017: Minerva Urologica e Nefrologica, the Italian Journal of Urology and Nephrology
https://www.readbyqxmd.com/read/28043843/outcomes-of-holmium-laser-enucleation-of-the-prostate-in-the-re-treatment-setting
#16
Tracy Marien, Mustafa Kadihasanoglu, Teerayut Tangpaitoon, Nadya York, Andrew T Blackburne, Haidar Abdul-Muhsin, Michael S Borofsky, Amy E Krambeck, Mitchell R Humphreys, James E Lingeman, Nicole L Miller
PURPOSE: Holmium laser enucleation of the prostate can also be applied in the re-treatment setting when other benign prostatic hyperplasia therapies fail. We compared outcomes in men who underwent holmium laser enucleation of the prostate in the primary vs the re-treatment setting. MATERIALS AND METHODS: We retrospectively reviewed the records of 2,242 patients who underwent holmium laser enucleation of the prostate at a total of 4 academic hospitals between 2003 and 2015...
June 2017: Journal of Urology
https://www.readbyqxmd.com/read/28017884/a-new-laser-platform-for-holmium-laser-enucleation-of-the-prostate-does-the-lumenis-pulse-120h-laser-platform-improve-enucleation-efficiency
#17
Karen L Stern, Sean B McAdams, Stephen S Cha, Haidar M Abdul-Muhsin, Mitchell R Humphreys
OBJECTIVE: To determine whether the recently introduced Lumenis Pulse 120H laser platform, which offers a dual-pedal footswitch and preset energy modes to easily switch among laser settings, facilitates a more efficient process in holmium laser enucleation of the prostate (HoLEP) for surgical treatment of benign prostatic hyperplasia. PATIENTS AND METHODS: Patients at a single institution who underwent HoLEP with the new Lumenis Pulse 120H laser platform were matched 1:2 with patients who underwent the procedure with the previously used 100-watt VersaPulse single-pedal laser platform...
December 23, 2016: Urology
https://www.readbyqxmd.com/read/27995851/the-impact-of-training-on-the-perioperative-and-intermediate-functional-outcomes-after-holmium-laser-enucleation-of-the-prostate
#18
Haidar M Abdul-Muhsin, Mark D Tyson, Karen L Stern, Rafael A Nunez-Nateras, Mitchell R Humphreys
INTRODUCTION: To systemically measure the impact of trainees' participation on the perioperative and functional outcomes after holmium laser enucleation of the prostate (HoLEP). MATERIALS AND METHODS: Benign prostatic hyperplasia patients who underwent HoLEP at our department between January 2007 and January 2013 were classified based on trainee's level. Perioperative outcomes and complications were collected. Functional outcomes were assessed using the Sexual Health Inventory for Men (SHIM), International Prostate Symptom Score (IPSS), and International Continence Society-Short Form (ICSmaleSF) questionnaires...
December 2016: Canadian Journal of Urology
https://www.readbyqxmd.com/read/27847917/predictors-of-urgency-improvement-after-holmium-laser-enucleation-of-the-prostate-in-men-with-benign-prostatic-hyperplasia
#19
Won Sok Hur, Joon Chul Kim, Hyo Sin Kim, Jun Sung Koh, Sang Hoon Kim, Hyun Woo Kim, Su Yeon Cho, Kang Jun Cho
PURPOSE: To investigate the change in urinary urgency and predictors of urgency improvement after holmium laser enucleation of the prostate (HoLEP) in men with benign prostatic hyperplasia (BPH). MATERIALS AND METHODS: We retrospectively analyzed the medical records of patients who were treated with HoLEP for BPH and had preoperative urgency measuring ≥3 on a 5-point urinary sensation scale. Those with prostate cancer diagnosed prior to or after HoLEP, a history of other prostatic and/or urethral surgery, moderate to severe postoperative complications, and neurogenic causes were excluded...
November 2016: Investigative and Clinical Urology
https://www.readbyqxmd.com/read/27825972/prospective-assessment-of-learning-curve-of-holmium-laser-enucleation-of-the-prostate-for-treatment-of-benign-prostatic-hyperplasia-using-a-multidimensional-approach
#20
Ahmed M Elshal, Hossam Nabeeh, Yasser Eldemerdash, Ramy Mekkawy, Mahmoud Laymon, Ahmed El-Assmy, Ahmed R El-Nahas
PURPOSE: Despite being endorsed in most guidelines, wide adoption of holmium laser enucleation of the prostate is hindered by learning difficulties. We prospectively assessed the learning curve using a multidimensional approach. MATERIALS AND METHODS: We prospectively report all perioperative safety and efficacy outcome measures as well as the need for reoperation and continence status. Case difficulty and learning curve characterization variables were considered, looking for predictors of different outcome measures...
November 5, 2016: Journal of Urology
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