Holmium Laser Enucleation of the Prostate Following Previous Prostatic Urethral Lift

Das, Akhil; Han, Timothy M.; Rudnick, Benjamin; Hardacker, Thomas; Shenot, Patrick J.; Shvero, Asaf

doi:10.1089/end.2021.0351

Cited by 4 publications

(11 citation statements)

References 14 publications

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“…1 , 2 HoLEP is commonly used for BPH symptoms refractory to PUL, but the metallic implants left in the prostate from PUL may cause technical difficulties or complications during HoLEP including difficult visualization or morcellator damage. 3 , 4 , 5 Because of the increasing use of HoLEP following prostatic urethral lift, awareness of the complications can help decrease morbidity.…”

Section: Discussionmentioning

confidence: 99%

“… 3 The implants have been shown to distort anatomy or require grasper or basket retrieval during HoLEP. 4 In addition, cases have caused morcellator damage and the use of multiple sets of costly disposable morcellator blades per case. 4 , 5 …”

Section: Introductionmentioning

confidence: 99%

“… 4 In addition, cases have caused morcellator damage and the use of multiple sets of costly disposable morcellator blades per case. 4 , 5 …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Prostatic urethral lift (PUL) clip causing postoperative pain after holmium laser enucleation of the prostate (HoLEP)

David¹,

Baird²,

Ericson³

et al. 2022

Urology Case Reports

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Prostatic urethral lift (PUL) clip causing postoperative pain after holmium laser enucleation of the prostate (HoLEP)

David¹,

Baird²,

Ericson³

et al. 2022

Urology Case Reports

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“…Although various types of lasers are used in endourology, the holmium:yttrium-aluminum-garnet (Ho:YAG) laser has recently become the dominant instrument due to its effective and versatile structure [ 4 , 5 ]. The Ho:YAG laser, previously used only for stone surgery in urology, has been applied in many areas, from prostate surgery to tumor surgery, given its innovative features [ 6 - 8 ]. In recent years, the Ho:YAG laser has also been shown to be effective in soft tissues [ 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

“…The Ho:YAG laser, previously used only for stone surgery in urology, has been applied in many areas, from prostate surgery to tumor surgery, given its innovative features [ 6 - 8 ]. In recent years, the Ho:YAG laser has also been shown to be effective in soft tissues [ 6 , 7 ]. In endourology, courageous experiments continue to be carried out via ambitious efforts to open up new areas for this laser’s application and to consolidate its place in the field.…”

Section: Introductionmentioning

confidence: 99%

Could Testicular Tissue Be a New Arena for the Holmium Laser?

Karaaslan,

Yilmaz,

Ordu

et al. 2023

Cureus

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Introduction We aimed to observe the effects of holmium:yttrium-aluminum-garnet (Ho:YAG) laser on testicular tissue. Methods An ex vivo experiment was conducted using calf testicles. A 100 W laser generator with broad-spectrum settings of 10-80 W, 20-40 Hz, and 0.5-2 J, with a medium pulse duration, was tested. The laser effects on testicular tissues with and without the tunica layer were evaluated histopathologically by calculating the incision depth (ID), vaporization area (VA), coagulation area (CA), and total laser area (TLA=VA+CA) of the specimens. Results A total of 48 experiments were conducted. In testicular tissue without a tunica layer, the highest mean ID was determined at 1 J-20 Hz (0.247±0.0208 mm) and with a tunica layer at 2 J-40 Hz (2.673±0.032 mm). In the testicular tissue without a tunica layer, the highest mean VA was determined at 1.5 J-40 Hz (0.029±0.0016 mm 2 ) and in tissue with a tunica at 2 J-40 Hz (6.173±0.114 mm 2 ). The highest mean TLA in tissue without a tunica was detected at 2 J-20 Hz (0.038±0.0008 mm 2 ) and in tissue with a tunica at 2 J-40 Hz (7.292±0.07 mm 2 ). The mean ID, VA, CA, and TLA values of all the power outputs used were found to be statistically significantly higher in the testicular tissue with the tunica layer than in that without it (p<0.001). Conclusion The Ho:YAG laser has different effects on testicular tissue with and without a tunica layer. In testicular tissue without a tunica, the laser’s effect was minimal on the surrounding tissue, especially in terms of the ID, VA, and TLA. This minimal effect of the laser can be an advantage in testicular surgery procedures such as testis-sparing surgery (TSS) or testicular sperm extraction (TESE).

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Enucleation of the prostate as retreatment for recurrent or residual benign prostatic obstruction: a systematic review and a meta-analysis

Pyrgidis

Mykoniatis

Lusuardi

et al. 2023

Prostate Cancer Prostatic Dis

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Holmium Laser Enucleation of the Prostate Following Previous Prostatic Urethral Lift

Cited by 4 publications

References 14 publications

Prostatic urethral lift (PUL) clip causing postoperative pain after holmium laser enucleation of the prostate (HoLEP)

Prostatic urethral lift (PUL) clip causing postoperative pain after holmium laser enucleation of the prostate (HoLEP)

Could Testicular Tissue Be a New Arena for the Holmium Laser?

Enucleation of the prostate as retreatment for recurrent or residual benign prostatic obstruction: a systematic review and a meta-analysis

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