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https://www.readbyqxmd.com/read/29901308/-endoscopic-enucleation-of-the-prostate-a-short-term-trend-or-a-new-treatment-standard
#1
P V Glybochko, Yu G Alyaev, L M Rapoport, D V Enikeev, Z Okhunov, C Netsch, L G Spivak, M S Taratkin
Endoscopic enucleation of the prostate (EEP) techniques such as HoLEP (holmium laser enucleation of the prostate), ThuLEP (thulium laser enucleation of the prostate) and electroenucleation (mono- or bipolar) are highly effective and safe. They have been endorsed by the latest version of the European Association of Urology guidelines as an alternative to not only open adenomectomy but also transurethral resection of the prostate (EAU Guidelines on Treatment of Non-neurogenic Male LUTS 2018). Therefore, many urologists face the possibility of replacing the treatments of BPH...
May 2018: Urologii︠a︡
https://www.readbyqxmd.com/read/29858700/holep-provides-a-higher-prostate-cancer-detection-rate-compared-to-bipolar-turp-a-matched-pair-analysis
#2
Bernd Rosenhammer, Eva M Lausenmeyer, Roman Mayr, Maximilian Burger, Christian Eichelberg
PURPOSE: Holmium laser enucleation of the prostate (HoLEP) has become a popular alternative to TURP for desobstructive prostate surgery. The prevalence of incidental prostate cancer (iPCa) during surgery varies depending on many preoperative factors. To evaluate whether the surgical procedure itself (HoLEP vs. TURP) influences iPCa detection, we performed a case-by-case matched-pair analysis. METHODS: Preoperative patient age, total PSA, and prostate volume were used as matching criteria...
June 1, 2018: World Journal of Urology
https://www.readbyqxmd.com/read/29774816/holmium-laser-enucleation-of-the-prostate
#3
Marcelino E Rivera, James E Lingeman, Amy E Krambeck
INTRODUCTION: Holmium laser enucleation of the prostate (HoLEP) offers superior voiding outcomes to traditional transurethral resection and less morbidity than open simple prostatectomy. Likewise, HoLEP has been determined to result in excellent outcomes regardless of gland size. We present a step-by-step surgical approach to HoLEP describing both the traditional enucleation technique and a modified "top-down" surgical technique. MATERIALS AND METHODS: In this video, two techniques are presented that were performed by two (A...
May 2018: Journal of Endourology
https://www.readbyqxmd.com/read/29727542/-3-1-bladder-function-restoration-combined-with-holmium-laser-enucleation-of-the-prostate-for-benign-prostatic-hyperplasia-with-acontractile-detrusor
#4
Xiang Wan, Chong Liu, Huan Xu, Meng Gu, Yan-Bo Chen, Yu-Bing Peng, Qi Chen, Zhi-Kang Cai, Zhong Wang
Objective: To investigate the clinical effect of "3+1" bladder function restoration combined with holmium laser enucleation of the prostate (HoLEP) in the treatment of benign prostatic hyperplasia (BPH) with acontractile detrusor (ACD). METHODS: We treated 35 BPH patients with ACD by HoLEP followed by "3+1" bladder function restoration, that is, a 3-phase bladder function training plus simultaneous 1-drug medication after surgery. We recorded and analyzed the detrusor pressure, post-void residual urine volume (PVR), maximum urinary flow rate (Qmax), International Prognostic Scoring System (IPSS) scores, quality of life (QoL), voluntary micturition, satisfaction with the bladder function, hydronephrosis, ureterectasia, renal function, and urinary tract infection of the patients before and after treatment...
October 2017: Zhonghua Nan Ke Xue, National Journal of Andrology
https://www.readbyqxmd.com/read/29692508/comparison-of-the-efficiency-and-complications-of-lumenis-and-wolf-morcellators-after-holmium-laser-enucleation-of-the-prostate
#5
Pankaj N Maheshwari, Vinayak G Wagaskar, Reeta P Maheshwari
Introduction: Holmium laser enucleation of the prostate (HoLEP) is a recognized option for the surgical management of benign prostatic hyperplasia. While the laser parameters and enucleation techniques have been widely studied, the morcellation techniques still remain under-evaluated. The current study evaluates the two commonly used morcellation devices for their in vivo efficiency and patient safety. Materials and Methods: A total of 222 patients who underwent HoLEP at two medical centres between January 2011 to December 2013 by a single surgeon were included...
April 2018: Indian Journal of Urology: IJU: Journal of the Urological Society of India
https://www.readbyqxmd.com/read/29608020/prostatic-stromal-inflammation-is-associated-with-bladder-outlet-obstruction-in-patients-with-benign-prostatic-hyperplasia
#6
So Inamura, Hideaki Ito, Tomochika Shinagawa, Manami Tsutsumiuchi, Minekatsu Taga, Motohiro Kobayashi, Osamu Yokoyama
BACKGROUND: Benign prostatic hyperplasia (BPH) is a common urologic disease in older men. Prostatic inflammation research has focused on the magnitude of inflammation; its location has received little attention. We investigated whether the anatomic location of prostatic inflammation is related to the severity of lower urinary tract symptoms (LUTS), measured subjectively and objectively. METHODS: We retrospectively analyzed hematoxylin+eosin-stained tissue specimens from 179 BPH patients who underwent transurethral resection of the prostate (TURP) or holmium laser enucleation of the prostate (HoLEP)...
July 2018: Prostate
https://www.readbyqxmd.com/read/29578511/surgical-treatment-for-benign-prostatic-hyperplasia-holmium-laser-enucleation-of-the-prostate-holep
#7
Huan Xu, Xiang Wan, Meng Gu, Yanbo Chen, Qiling Shi, Qi Chen, Zhong Wang
Benign prostatic hyperplasia (BPH) commonly occurs among elderly males. The condition causes symptoms in the lower urinary tract, thereby reducing the quality of life. BPH includes 2 major treatments: medication and surgery. Surgical treatment is often the most effective and final intervention. Holmium laser enucleation of the prostate (HoLEP), one of the most efficient surgical procedures for BPH, is conducted transurethrally. During surgery, the most important and most difficult part is to locate the surgical capsule of the prostate, which is consistent to the idea of anatomic surgery...
March 6, 2018: Journal of Visualized Experiments: JoVE
https://www.readbyqxmd.com/read/29574627/comparison-of-vela-and-holmium-laser-enucleation-of-the-prostate-a-retrospective-clinical-trial-with-a-12-month-follow-up
#8
Meng Gu, Chong Liu, Yan-Bo Chen, Huan Xu, Shi Fu, Qi Chen, Zhong Wang
PURPOSE: This study aimed to estimate the validity and applicability of Vela laser enucleation of the prostate (VoLEP) in the management of benign prostatic hyperplasia (BPH). METHODS: A retrospective chart review of 112 patients with BPH who underwent VoLEP (n = 60) or holmium laser enucleation of the prostate (HoLEP) (n = 56) was conducted at our institution from January 2015 to June 2015. The general and perioperative characteristics of the patients were collected...
May 2018: International Urology and Nephrology
https://www.readbyqxmd.com/read/29545053/management-of-inverted-papilloma-during-holmium-laser-enucleation-of-the-prostate
#9
David T Tzou, Cathryn Cadwell, Jeffry P Simko, Thomas Chi, Marshall L Stoller
Inverted papilloma of the prostatic urethra is an especially rare finding. A 75-year-old man with urinary retention wished to proceed with a holmium laser enucleation of the prostate (HoLEP) and was found to have a mass arising from his prostate vs bladder on preoperative imaging. Cystourethroscopy revealed the mass arising from the median lobe of the prostate. After transurethral resection and frozen analysis confirmed the benign pathology of an inverted papilloma, the patient subsequently underwent a successful HoLEP during the same surgical setting...
March 12, 2018: Urology
https://www.readbyqxmd.com/read/29543065/day-case-holmium-laser-enucleation-of-the-prostate-feasibility-safety-and-predictive-factors
#10
S-M Lee, K Gordon, R McMillan, F Crystal, P Acher
Introduction Transurethral resection of the prostate has remained the most common operation for bladder outlet obstruction in the UK, but it is associated with potential morbidity and median two-day length of hospital stay. Holmium laser enucleation of the prostate (HoLEP) provides an alternative procedure. Provision of day-case HoLEP would improve patient care through increased efficiency. We assessed the feasibility and safety of day-case HoLEP and examined predictive factors for increased length of hospital stay...
March 15, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29538164/evidence-based-outcomes-of-holmium-laser-enucleation-of-the-prostate
#11
Tim Large, Amy E Krambeck
PURPOSE OF REVIEW: Holmium laser enucleation of the prostate (HoLEP) has been a mainstay therapy for the treatment of lower urinary tract symptoms (LUTS) secondary to benign prostate hyperplasia (BPH) for nearly 20 years. We briefly review current and sentinel publications that provide outcomes data after HoLEP. RECENT FINDINGS: Current literature continues to support HoLEP as a versatile and durable surgical option for men with LUTS secondary to BPH. Despite evidence supporting durable symptom relief beyond 10 years even in large prostate glands, HoLEP is still not widely available to all patients...
May 2018: Current Opinion in Urology
https://www.readbyqxmd.com/read/29528970/robotic-assisted-simple-prostatectomy-recent-advances
#12
Randy Vince, Lance J Hampton, Mihai D Vartolomei, Shahrokh F Shariat, Francesco Porpiglia, Riccardo Autorino
PURPOSE OF REVIEW: Robotic assisted simple prostatectomy (RASP) represents a minimally invasive evolution of traditional open simple prostatectomy for the surgical treatment of severe lower urinary tract symptoms (LUTS) because of benign prostatic enlargement (BPE). Aim of the present review is to summarize the most recent evidence on this novel procedure, and to better define its current role in the surgical armamentarium for the treatment of BPE. RECENT FINDINGS: Several studies demonstrated that RASP can be safely and effectively performed in centers with sufficient expertise...
May 2018: Current Opinion in Urology
https://www.readbyqxmd.com/read/29512089/calculi-in-the-prostatic-surgical-bed-as-a-complication-after-holmium-laser-enucleation-of-the-prostate
#13
Young Ju Lee, Seung-June Oh
PURPOSE: To report de novo calculi in the prostatic surgical bed as a complication of Holmium laser enucleation of the prostate (HoLEP). MATERIALS AND METHODS: Patients who underwent HoLEP and were enrolled in our Benign Prostatic Hyperplasia (BPH) Database Registry from July 2008 to December 2015 were reviewed. Cases of calculi removal in the prostatic surgical bed were identified. Clinical data, including preoperative evaluation, postoperative symptoms with a detailed history, urinalysis, pathology, cystourethroscopy, and stone analysis were collected and described...
March 7, 2018: Urology Journal
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
#14
Dmitry Enikeev, Petr Glybochko, Zhamshid Okhunov, Yuriy Alyaev, Leonid Rapoport, Dmitry Tsarichenko, Mikhail Enikeev, Nikolay Sorokin, Alim Dymov, Mark 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 laser enucleation of the prostate (HoLEP), and thulium laser enucleation of the prostate (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...
March 13, 2018: Journal of Endourology
https://www.readbyqxmd.com/read/29379735/laparoscopic-adenomectomy-in-bph-does-it-have-a-role-today
#15
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
#16
COMPARATIVE STUDY
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-followup-data-between-high-performance-system-photoselective-vaporization-and-holmium-laser-enucleation-of-the-prostate
#17
Min Chul Cho, Won Hoon Song, Juhyun Park, Sung Yong Cho, Hyeon Jeong, Seung-June Oh, Jae-Seung Paick, Hwancheol Son
PURPOSE: We compared long-term storage symptom outcomes between photoselective laser vaporization of the prostate with a 120 W high performance system and holmium laser enucleation of the prostate. We also determined factors influencing postoperative improvement of storage symptoms in the long term. MATERIALS AND METHODS: Included in our study were 266 men, including 165 treated with prostate photoselective laser vaporization using a 120 W high performance system and 101 treated with holmium laser enucleation of the prostate, on whom 60-month followup data were available...
June 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
#18
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...
April 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
#19
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...
March 2018: 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
#20
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, quality of life scores, maximum flow rate (Qmax), and international index of erectile function (IIEF), and the adverse events, including the need for retreatment, were specifically assessed...
February 2018: Journal of Endourology
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