An improved morcellation procedure for holmium laser enucleation of the prostate.
J Endourol
; 26(12): 1625-8, 2012 Dec.
Article
de En
| MEDLINE
| ID: mdl-22788738
ABSTRACT
PURPOSE:
We modified the conventional morcellation procedure for holmium laser enucleation of the prostate (HoLEP), and its outcomes are presented in this article. MATERIALS ANDMETHODS:
As 395 patients were included, the conventional morcellation procedure was performed in the first 100 cases (group 1, cases 1-100), and an improved procedure was used in the last 100 cases (group 2, cases 296-395). The improved morcellation process has three steps to execute. The morcellation time, collected tissue weight, morcellation rate, and associated complications were recorded.RESULTS:
The tissue-resected weight was similar between group 1 (60.7±33.9 g) and group 2 (62.4±36.8 g). The mean morcellation time in group 1 was greater than that in group 2 (11.3±7.1 and 8.3±4.1 minutes, respectively), and the mean morcellation rate was better in group 2 than in group 1 (5.75±1.7 g/minutes in group 1 v 7.3±1.1 g/minutes in group 2). Complications, such as bladder injury, were similar in both groups.CONCLUSION:
The improved morcellation procedure described in this article can be used in various situations of suction and can be performed in a more fluent manner and with better efficiency.
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Prostate
/
Thérapie laser
/
Lasers à solide
Limites:
Aged
/
Humans
/
Male
Langue:
En
Journal:
J Endourol
Sujet du journal:
UROLOGIA
Année:
2012
Type de document:
Article
Pays d'affiliation:
Chine