1463 One Urology Unit’s Experience With Holmium Laser Enucleation Of The Prostate(Holep)
نویسندگان
چکیده
Abstract Introduction Holmium laser enucleation of the prostate (HoLEP) is a minimally invasive procedure for management Benign Prostatic Hyperplasia and Bladder Outlet Obstruction. The European Associations Urologists (EAU) recommend HoLEP should be offered to patients with prostates measuring >30cc or who are anticoagulated Aim To review outcomes one-unit procedures. Comparing first third final in 183-patient cohort. Method We collected data retrospectively over 44-month period from 183 using electronic patient records. Outcomes measured; length stay (los), time catheter. Length procedure. comparing 1st 61 last reviewed rates complications Clavien-Dindo classification Results mean size was 83cc. 149 (81%) had LOS £ 1 day. catheter 3.44 days. Mean operating – 71 minutes. 70.2 minutes compared 73.1 patients. With regards complications, 8 Grade 3 however 0 grade 4 5. Conclusions Patients undergo Prostate keeping EAU. This unit has short post-op low complication rate. post op time.
منابع مشابه
Holmium laser enucleation of the prostate (HoLEP).
What is the evidence base for this information? This publication includes advice from consensus panels, the British Association of Urological Surgeons, the Department of Health and evidence-based sources. It is, therefore, a reflection of best urological practice in the UK. It is intended to supplement any advice you may already have been given by your GP or other healthcare professionals. Alte...
متن کاملHolmium laser enucleation of prostate (HoLEP): the Methodist Hospital experience with greater than 75 gram enucleations.
PURPOSE Holmium laser enucleation of the prostate (HoLEP) effectively removes obstructive prostate tissue in minimally invasive fashion. We present our large enucleation outcomes (greater than 75 gm retrieved). We examined post-procedural prostate specific antigen (PSA) and transrectal ultrasound (TRUS) volume changes to assess tissue removal completeness. MATERIALS AND METHODS We retrospecti...
متن کاملHolmium laser enucleation of the prostate with tissue morcellation: initial United States experience.
BENIGN PROSTATIC HYPERPLASIA (BPH) affects 70% of men over age 70 and is a significant cause of morbid. ity in this population.1 Endoscopic surgery for BPH has evolved over the past decade with technological advances that offer significant advantages in perioperative and postoperative morbidity and hospital stay. One of the technological advances has been the holmium laser, a multifunction tool...
متن کاملThe Learning Curve for Holmium Laser Enucleation of the Prostate: A Single-Center Experience
PURPOSE Holmium laser enucleation of the prostate (HoLEP) is known to have a steep learning curve and, as a result, its clinical usage has limitations. The purpose of this study was to analyze the learning curve and early complications following the HoLEP procedure. MATERIALS AND METHODS A retrospective analysis was performed on 161 patients who had undergone the HoLEP procedure for lower uri...
متن کاملHolmium laser enucleation of the prostate: patient selection and perspectives
BACKGROUND Multiple endoscopic surgical options exist to treat benign prostatic hyperplasia (BPH), including holmium laser enucleation of the prostate (HoLEP). HoLEP alleviates obstructive prostatic tissue via enucleation, both bluntly with a resectoscope and by cutting tissue with the holmium laser, and removal of adenoma via morcellation. This article reviews patient selection for HoLEP in or...
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ژورنال
عنوان ژورنال: British Journal of Surgery
سال: 2021
ISSN: ['1365-2168', '0007-1323']
DOI: https://doi.org/10.1093/bjs/znab259.1110