Holmium laser assisted ′anatomical′ enucleation of adenoma of benign hyperplasia of prostate

Bapat, S.; Pai, Ketan V; Purnapatre, Satyajeet S; Yadav, Pushkaraj B; Padhye, Abhijit S

doi:10.4103/0970-1591.24655

Indian J Urol

2006

DOI: 10.4103/0970-1591.24655

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Holmium laser assisted ′anatomical′ enucleation of adenoma of benign hyperplasia of prostate

S. Bapat¹,

Ketan V Pai²,

Satyajeet S Purnapatre³

et al.

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“…Shigemura et al found that the experience with at least 20 cases significantly affected urinary incontinence (28). In another study, patients with enucleated prostate volume > 50 g and blood loss > 2.5 g/dL were associated with SUI(26). Kim et al found that 11% of the patients had urge incontinence after the urethral catheters were removed after surgery…”

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confidence: 97%

Does Holmium laser enucleation of the prostate (HoLEP) still have a steep learning curve? Our experience of 100 consecutive cases from Turkey

Gürlen¹,

Karkin²

2021

Arch Ital Urol Androl

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Aim: The aim of our study is to examine the learning curve of HoLEP and to discuss our results in the light of the literature. Methods: 100 patients who had LUTS resistant to medical treatment and complicated BPH to whom HoLEP procedure had been administered regardless of the size of the prostate in the last 1 year were analysed retrospectively. To evaluate the learning curve, the patients were classified into 4 main groups of 25 consecutively operated patients beginning from the first case. The 4 main groups were divided into 2 subgroups including patients who had prostate volume below or above 80 grams. Results: The mean age of the 100 patients who had HoLEP was 64.5 years. The mean prostate volume was 99.1 cc (45-281 cc). When those with prostate smaller than 80 g are examined, Enucleation efficiency was 0.76 g/min (0.46-0.97 g/min) and Morcellation efficiency was 3.07 g/min (3.34-4 g/min). When those with prostates larger than 80 g are examined, Enucleation efficiency was 0.89 g/min (0.66-1.04 g/min) and Morcellation efficiency was 4.01 g/min (3.93-4.25 g/min). These two parameters were statistically and significantly different in all the 4 groups (p < 0.05). Conclusions: HoLEP still has a steep learning curve. It is necessary to reach the number of cases of 25-50 to reach fundamental experience.

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mentioning

confidence: 97%

Does Holmium laser enucleation of the prostate (HoLEP) still have a steep learning curve? Our experience of 100 consecutive cases from Turkey

Gürlen¹,

Karkin²

2021

Arch Ital Urol Androl

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Assessing the Learning Curve of Holmium Laser Enucleation of Prostate (HoLEP). A Systematic Review

Kampantais

Dimopoulos

Tasleem

et al. 2018

Urology

107

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Holmium laser assisted ′anatomical′ enucleation of adenoma of benign hyperplasia of prostate

Cited by 2 publications

References 0 publications

Does Holmium laser enucleation of the prostate (HoLEP) still have a steep learning curve? Our experience of 100 consecutive cases from Turkey

Does Holmium laser enucleation of the prostate (HoLEP) still have a steep learning curve? Our experience of 100 consecutive cases from Turkey

Assessing the Learning Curve of Holmium Laser Enucleation of Prostate (HoLEP). A Systematic Review

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