2015
DOI: 10.5213/inj.2015.19.2.90
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Clinical and Pathological Characteristics of Hard Nodules Resistant to Morcellation During Holmium Laser Enucleation of the Prostate

Abstract: Purpose:To identify the clinical and pathological characteristics of hard nodules resistant to morcellation (HNRM) during holmium laser enucleation of the prostate (HoLEP) for benign prostatic hyperplasia (BPH).Methods:Between July 2008 and October 2011, 246 patients underwent HoLEP for symptomatic BPH. The first 30 patients were excluded from the analysis due to the learning curve of the procedure. The remaining patients were divided into HNRM (n=29) and non-HNRM groups (n=187), and comparative analysis of th… Show more

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Cited by 11 publications
(6 citation statements)
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“…The larger enucleation weight in group D correlated with their longer total operation time, enucleation time, and morcellation time. These results were consistent with those previously reported [ 12 ]. Oral anticoagulant use independently affects TURP outcome, with longer hospital stay, and higher rates of bleeding, blood transfusion, late hematuria, and thromboembolic events [ 11 ].…”
Section: Discussionsupporting
confidence: 94%
“…The larger enucleation weight in group D correlated with their longer total operation time, enucleation time, and morcellation time. These results were consistent with those previously reported [ 12 ]. Oral anticoagulant use independently affects TURP outcome, with longer hospital stay, and higher rates of bleeding, blood transfusion, late hematuria, and thromboembolic events [ 11 ].…”
Section: Discussionsupporting
confidence: 94%
“…The surgical procedures were performed by a single surgeon in the same way as previously described [ 14 ]. Briefly, HoLEP was performed with the patient in a dorsal lithotomy position and under spinal or general anaesthesia.…”
Section: Methodsmentioning
confidence: 99%
“…Non-morcellation approaches are valid options in cases of an absence of a perfectly working morcellator, very large prostates, and when there is concomitant lower urinary tract pathology. Piao et al [25] identified men aged ⩾65 years and a total prostate volume of ⩾65 mL as independent predictors for hard nodules resistant to morcellation, with mainly dense fibrous tissue forming these nodules. Hard nodules resistant to morcellation make morcellation cumbersome and time-consuming.…”
Section: Discussionmentioning
confidence: 99%