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https://www.readbyqxmd.com/read/29430969/retrospective-analysis-of-short-term-outcomes-after-monopolar-versus-laser-endoscopic-enucleation-of-the-prostate-a-single-center-experience
#1
Dmitry Victorovich Enikeev, Petr Vitalievich Glybochko, Zhamshid Okhunov, Yuriy Gennadievich Alyaev, Leonid Mikhailovich Rapoport, Dmitry Tsarichenko, Mikhail Elikovich Enikeev, Nikolay Ivanovich Sorokin, Alim Mukhamedovich Dymov, Mark Sergeevich Taratkin
INTRODUCTION: Endoscopic enucleation of the prostate (EEP) has been recognized as a viable, treatment modality for men with benign prostatic hyperplasia (BPH). The aim of our study was to compare the efficacy and functional outcomes of three different techniques of EEP including monopolar enucleation (MEP), holmium (HoLEP) and thulium laser enucleation (ThuLEP). METHODS: The study consisted of a retrospective comparison of pre- and postoperative parameters in men undergoing three types of EEP: MEP, HoLEP, and ThuLEP...
February 12, 2018: Journal of Endourology
https://www.readbyqxmd.com/read/29379735/laparoscopic-adenomectomy-in-bph-does-it-have-a-role-today
#2
REVIEW
Ramalingam Manickam, Sivasankaran Nachimuthu, Senthil Kallappan, Mizar G Pai
Symptomatic benign prostatic hyperplasia (BPH) is managed medically worldwide, but transurethral resection of prostate (TURP) is the gold standard in refractory cases. Holmium laser enucleation of prostate (HoLEP), laser vaporization are other options which are widely practiced. However in larger glands which are more than 80 g, open adenomectomy is still practiced. Laparoscopic adenomectomy is a minimally invasive option in such circumstances. This article explains about different techniques in minimally invasive adenomectomy and the role for this procedure today...
January 2018: Asian Journal of Urology
https://www.readbyqxmd.com/read/29376601/-comparative-assessment-of-treatments-for-prostate-adenoma-greater-than-100-cm3
#3
I N Orlov, S V Popov, A G Martov, E A Gallyamov, S M Malevich, I V Sushina, E A Grin, A E Sanzharov, A B Novikov, V P Sergeev, A D Kochkin
AIM: To compare holmium laser enucleation of the prostate (HoLEP) and endovideosurgical (EVS) adenomectomy in the treatment of prostate adenoma. MATERIALS AND METHODS: We compared treatment results of 180 patients with prostate adenomas greater than 100 cm3 who underwent EVS adenomectomy (n=90) and laser enucleation of the prostate (n=90). The analysis included the following parameters: duration of catheterization, length of postoperative hospital stay, I-PSS score, maximum urinary flow rate measured by uroflowmetry and complications according to Clavien-Dindo grading systems...
December 2017: Urologii︠a︡
https://www.readbyqxmd.com/read/29329895/long-term-outcomes-of-laser-prostatectomy-for-storage-symptoms-comparison-of-serial-5-year-follow-up-data-between-120w-hps-photo-selective-vaporization-of-the-prostate-and-holmium-laser-enucleation-of-the-prostate
#4
Min Chul Cho, Won Hoon Song, Juhyun Park, Sung Yong Cho, Hyeon Jeong, Seung-June Oh, Jae-Seung Paick, Hwancheol Son
PURPOSE: To compare long-term outcomes for storage symptoms between PVP-120W-HPS and HoLEP, and to find factors influencing postoperative improvement of storage symptoms in the long term. MATERIALS AND METHODS: A total of 266 men (PVP-120W-HPS group, 165; HoLEP group, 101), for whom 60-month follow-up data were available, were included in our study. Outcomes were assessed serially at 6-, 12- 24-, 36-, 48-, and 60-months postoperatively, using the IPSS, uroflowmetry, and serum PSA level...
January 9, 2018: Journal of Urology
https://www.readbyqxmd.com/read/29313161/benign-prostatic-hyperplasia-surgical-scoring-bphss-an-novel-scoring-system-for-the-perioperative-outcomes-of-holmium-laser-enucleation-of-the-prostate
#5
Huan Xu, Zhikang Cai, Yanbo Chen, Meng Gu, Qi Chen, Zhong Wang
To develop a standardized scoring system, the BPH surgical scoring (BPHSS) system, to quantify the ability to predict the perioperative outcomes resulting from an enlarged prostate. There are two parts included in this study: the retrospective observational study (875 patients treated with holmium laser enucleation of the prostate, HoLEP) and the prospective observational study (111 patient underwent HoLEP). All the outcome data included the following: the basic patient preoperative characteristics, operation time (OT), pre- and post- surgery hemoglobin decrease, Na+ variation, hospital stay duration, duration of bladder irrigation, catheterization time, and hospitalization time...
January 8, 2018: Lasers in Medical Science
https://www.readbyqxmd.com/read/29275506/safety-and-efficacy-using-a-low-powered-holmium-laser-for-enucleation-of-the-prostate-holep-12-month-results-from-a-prospective-low-power-holep-series
#6
B Becker, A J Gross, C Netsch
PURPOSE: To analyze the 12-month outcomes of low-powered holmium laser enucleation of the prostate (LP-HoLEP) for patients with symptomatic benign prostatic obstruction (BPO). METHODS: A total of 54 patients with symptomatic BPO were treated with LP-HoLEP. All patients were treated by two experienced LP-HoLEP surgeons. A 50-W Ho:YAG laser was used at 39.6-W (2.2 J, 18 Hz). All patients were assessed preoperatively by International Prostate Symptom Score (IPSS), quality of life (QoL), maximum flow rate (Qmax), post-void residual urine (PVR), PSA, and whole prostate volume measurement by transrectal ultrasound...
December 23, 2017: World Journal of Urology
https://www.readbyqxmd.com/read/29239228/comparison-of-holmium-laser-enucleation-and-plasmakinetic-resection-of-prostate-a-randomized-trial-with-72-month-follow-up
#7
Meng Gu, Yan-Bo Chen, Chong Liu, Xiang Wan, Zhi-Kang Cai, Qi Chen, Zhong Wang
PURPOSE: To evaluate the long-term and flexible cystourethroscopy results of holmium laser enucleation of the prostate (HoLEP) and to compare them with those of plasmakinetic resection of the prostate (PKRP). METHODS: In the long-term follow-up, variables, including the international prostatic symptomatic score (IPSS), quality of life (QoL) scores, maximum flow rate (Qmax) and international index of erectile function (IIEF), and the adverse events, including the need for retreatment, were specifically assessed...
December 14, 2017: Journal of Endourology
https://www.readbyqxmd.com/read/29203157/-anticoagulation-impact-on-bleeding-risk-during-holep-monocentric-study-of-156-patients
#8
P Neuville, R Codas, E Ravier, D Maucort-Boulch, L Badet, H Fassi-Fehri
OBJECTIVE: Compare the length of hospital stay and the complications after HoLEP between three groups of patients: a control group, a group with antiplatelet therapy, a group with anticoagulation therapy. MATERIALS: Retrospective cohort study that included all consecutive patients who underwent HoLEP for prostatic hyperplasia in our center from may 2013 to may 2016. Anticoagulated patients and patients under clopidogrel had respectively a relay with heparine and aspirine...
December 1, 2017: Progrès en Urologie
https://www.readbyqxmd.com/read/29186090/-comparative-analysis-of-the-effectiveness-of-various-techniques-of-endoscopic-prostate-enucleation-in-a-single-center
#9
D V Enikeev, P V Glybochko, Yu G Alyaev, L M Rapoport, N I Sorokin, R B Sukhanov, L T Spivak, O Kh Khamraev, M S Taratkin, E A Laukhtina
AIM: To compare electro- and laser enucleation (thulium, holmium) of prostate hyperplasia. MATERIAL AND METHODS: 693 prostate hyperplasia patients were enrolled. 489 patients underwent holmium enucleation (HoLEP), 51 - monopolar enucleation, 153 - thulium enucleation (ThuLEP). Prostate volume was 91.7 (50-250) cm3. There were no significant differences in preoperative variables between both groups (I-PSS, QoL, Qmax, residual urine volume) (p>0.05). RESULTS: Mean time of HoLEP was 97...
2017: Khirurgiia
https://www.readbyqxmd.com/read/29164833/efficacy-of-holmium-laser-enucleation-of-the-prostate-in-patients-with-a-small-prostate-%C3%A2-30-ml
#10
Sejun Park, Taekmin Kwon, Sungchan Park, Kyung Hyun Moon
PURPOSE: We investigated the effects of holmium laser enucleation of the prostate (HoLEP) in patients with a small prostate (≤30 mL) in whom medical treatment was ineffective. MATERIALS AND METHODS: Data from 132 patients who underwent HoLEP by a single surgeon between 2012 and 2015 were retrospectively analyzed. All patients received benign prostatic hyperplasia medication for at least 6 months before surgery. The patients were divided into 2 groups according to prostate size: group 1, ≤30 mL (n=30); and group 2, >30 mL (n=102)...
November 20, 2017: World Journal of Men's Health
https://www.readbyqxmd.com/read/29158030/the-role-of-ayurveda-management-in-preventing-surgical-site-infections-instead-of-surgical-antibiotic-prophylaxis
#11
Subhash Yadav, Sanjay Jain, Jatinder Chaudhary, Rahul Bansal, Manoj Sharma
It is probably for the first time in the history of modern surgery that Benign Prostate Hyperplasia (BPH) surgery which belongs to 'clean contaminated' class and requires at least 3 doses of prophylactic antibiotic as per recommendations by American Urology Association, was done without the use of any as the patient had a history of severe intolerance to them. The case was an 83 year old male patient presenting with acute urinary retention. He was a known case of BPH being managed continuously on Ayurvedic therapy for many years...
October 2017: Journal of Ayurveda and Integrative Medicine
https://www.readbyqxmd.com/read/29138929/safety-and-feasibility-study-of-holmium-laser-enucleation-of-the-prostate-holep-on-patients-receiving-dual-antiplatelet-therapy-dapt
#12
Jie Sun, An Shi, Zhen Tong, Wei Xue
OBJECTIVE: To evaluate the safety and feasibility of Holmium laser enucleation of the prostate (HoLEP) in patients receiving dual antiplatelet therapy (DAPT). METHODS: From March 2013 to August 2016, we retrospectively analyzed 1124 benign prostatic hyperplasia (BPH) patients undergoing HoLEP and divided into four groups: 56 cases receiving DAPT therapy (group A); 72 patients treated with continuous single antiplatelet (AP) therapy (group B); 41 patients treated with single AP therapy but intermittent during preoperative time (group C) and 955 cases had no AP therapy (group D)...
November 14, 2017: World Journal of Urology
https://www.readbyqxmd.com/read/29090339/holmium-laser-enucleation-of-the-prostate-is-an-effective-treatment-in-patients-with-concomitant-bladder-diverticula-and-outlet-obstruction
#13
Deepak K Agarwal, Amy E Krambeck
INTRODUCTION: Bladder diverticula can be congenital or secondary to benign prostatic hyperplasia with bladder outlet obstruction, and be a source of high postvoid residuals prompting surgical intervention. We sought to evaluate the outcomes of patients with bladder diverticula undergoing holmium laser enucleation of the prostate (HoLEP) for bladder outlet obstruction. METHODS: We retrospectively reviewed HoLEP patients with at least one bladder diverticulum at two high volume institutions...
January 2018: World Journal of Urology
https://www.readbyqxmd.com/read/29048202/editorial-comment-on-comparison-of-perioperative-outcomes-between-holmium-laser-enucleation-of-the-prostate-and-robot-assisted-simple-prostatectomy-by-zhang-et-al-from-zhang-mw-el-tayeb-mm-borofsky-ms-et-al-j-endourol-2017-31-847-850
#14
https://www.readbyqxmd.com/read/29046983/holmium-laser-enucleation-of-the-prostate-patient-selection-and-outcomes
#15
REVIEW
Joseph M Kuebker, Nicole L Miller
PURPOSE OF REVIEW: Holmium laser enucleation of the prostate (HoLEP) is a proven technique to alleviate bladder outlet obstruction (BOO) from benign prostatic hyperplasia (BPH). Herein, we review factors relevant to selecting patients who will benefit from this procedure and expected outcomes. RECENT FINDINGS: New randomized trials have validated the excellent outcomes achieved by HoLEP in the management of BOO from BPH. Its success has been reproduced in a diverse array of patients including those on anticoagulation, with detrusor underactivity/acontractility, prostate cancer, and in the retreatment setting...
October 19, 2017: Current Urology Reports
https://www.readbyqxmd.com/read/29030074/a-survey-of-morcellator-preference-and-cost-comparison-of-the-lumenis-versacut-and-wolf-piranha-morcellators
#16
Marcelino E Rivera, James E Lingeman, Kevin Heinsimer, Nadya E York, Amy E Krambeck
OBJECTIVE: To evaluate operating room (OR) costs associated with the 2 available morcellators in the United States in a matched cohort and to determine benign prostatic hyperplasia surgeon's morcellator preference. MATERIALS AND METHODS: Patients from 2013, the last year our institution exclusively used the VersaCut device, were matched 1:1 with the most recent patient cohort, utilizing the Wolf Piranha morcellator. Cost of morcellation including the expense of OR time and disposable instrument costs were calculated...
October 10, 2017: Urology
https://www.readbyqxmd.com/read/28965711/-endoscopic-enucleation-of-the-prostate-indication-technique-and-results
#17
T Marquette, V Comat, G Robert
INTRODUCTION: Laser prostatic enucleation is an increasingly popular technique among surgical urology. It is now gradually becoming a contender for gold standard surgical treatments, trans-urethral resection of the prostate (TURP) and open prostatectomy (OP). MATERIALS AND METHODS: This study is based on data collected from sources published between June 1995 and June 2017. Medline and Embase database have been used to research the following keywords: Holmium; Thulium; Greenlight; Laser; Prostate; Enucleation; Benign prostatic obstruction; Surgical technique...
September 28, 2017: Progrès en Urologie
https://www.readbyqxmd.com/read/28952693/-laser-enucleation-of-the-prostate-holep-and-thulep-a-comparative-effectiveness-analysis-in-treating-recurrent-prostatic-hyperplasia
#18
COMPARATIVE STUDY
D V Enikeev, P V Glybochko, Yu G Alyaev, L M Rapoport, N I Sorokin, M E Enikeev, A M Dymov, R B Sukhanov, O Kh Khamraev, M S Taratkin, A V Dymova, J S Inoyatov
INTRODUCTION: The estimated recurrence rate of benign prostatic hyperplasia (BPH) after transurethral resection of the prostate is about 5 to 15%. Laser enucleation of the prostate results in a much lower recurrence rate (not exceeding 1-1.5%). At the same time, laser enucleation of the prostate is still not widely used for recurrent prostatic hyperplasia since it believed to be technically difficult in cases. AIM: To describe the distinctive features of thulium and holmium laser enucleations of the prostate in the management of recurrent BPH and show that the technical difficulties are not an obstacle to the wide application of this technique...
September 2017: Urologii︠a︡
https://www.readbyqxmd.com/read/28889714/-clinical-study-of-holep-for-the-patients-with-benign-prostatic-hyperplasia-who-are-on-oral-antithrombotics
#19
Takashi Matuoka, Issei Suzuki, Ryosuke Suzuki, Arinobu Fukunaga, Yoichiro Dohi, Yoshio Sugino, Koji Inoue, Mutsushi Kawakita
Recently, holmium laserenucleation of the prostate (HoLEP) was associated with less bleeding compared with transurethral resection of prostate. Since 2012, we have performed HoLEP for benign prostatic hyperplasia (BPH) under continuous oral antithrombotics (OA). Between October 2004 and March 2015, 54 patients with BPH underwent HoLEP while on OA at our hospital. Eight patients underwent HoLEP without OA cessation and 46 patients with temporary OA cessation. No significant between-group difference was observed in age, prostate volume, transitional zone prostate volume, operation time, resection weight, resection weight per minute, urethral catheter duration, Hb decrease on day 1 post- HoLEP, hospital stay after HoLEP, bleeding intraoperative rate, bleeding rate after HoLEP and transfusion rate...
August 2017: Hinyokika Kiyo. Acta Urologica Japonica
https://www.readbyqxmd.com/read/28882779/safety-and-effectiveness-of-holmium-laser-enucleation-of-the-prostate-using-a-low-power-laser
#20
Shingo Minagawa, Shinsuke Okada, Hirofumi Morikawa
OBJECTIVE: To assess the safety and effectiveness of holmium laser enucleation of the prostate (HoLEP) using a low-power 30-W holmium laser with an en bloc enucleation technique. MATERIALS AND METHODS: We retrospectively analyzed 74 patients with a diagnosis of benign prostatic hyperplasia treated with HoLEP using a 30-W laser set at 1.5 J with a frequency of 20 Hz, as a low-power setting. The enucleation process was performed using the en bloc technique. Forty-four patients were operated on by an experienced surgeon, whereas 30 patients were operated on by 2 less experienced surgeons...
December 2017: Urology
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