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Pulse modulation in En-Bloc HoLEP: does it really matter? A propensity score matched analysis

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Τίτλος: Pulse modulation in En-Bloc HoLEP: does it really matter? A propensity score matched analysis
Συγγραφείς: Hartung, Friedrich, Egen, Luisa, Gruene, Britta, Wenk, Maren Juliane, Kowalewski, Karl-Friedrich, Patroi, Paul, Rassweiler-Seyfried, Marie-Claire, Michel, Maurice Stephan, Herrmann, Jonas
Πηγή: http://lobid.org/resources/99370672102306441#!, 42(1):154.
Έτος έκδοσης: 2024
Συλλογή: Publisso (ZB MED-Publikationsportal Lebenswissenschaften)
Θεματικοί όροι: HoLEP, Humans [MeSH], MoLEP, Prostatic hyperplasia, Treatment Outcome [MeSH], Laser Therapy/methods [MeSH], Holmium, Anticoagulants [MeSH], Prostatic Hyperplasia/complications [MeSH], Endoscopic enucleation of the prostate, Original Article, MOSES, Lasers, Solid-State/therapeutic use [MeSH], Male [MeSH], Quality of Life [MeSH], Holmium [MeSH], Propensity Score [MeSH], Transurethral Resection of Prostate/methods [MeSH], BPH
Περιγραφή: Abstract Introduction Holmium laser enucleation of the prostate (HoLEP) is an established option in the surgical treatment of benign prostatic hyperplasia. Pulse modulation, such as MOSES® technology, has recently been introduced and may offer potential advantages in HoLEP. Methods Perioperative data from 117 patients who underwent MOSES® laser enucleation of the prostate (MoLEP) were collected. Propensity score matching using prostate volume, age, body mass index (BMI), and anticoagulant intake was performed using a database of 237 patients treated with HoLEP. In total, 234 patients were included in the analysis. Results Prostate volume (104 vs. 102 ml), age (70 vs. 71 years), BMI (27 vs. 27), and anticoagulant intake (34 vs. 35%) did not differ significantly between the groups. There were no significant differences in operation time (61.5 vs. 58.1 min, p = 0.42), enucleation efficiency (2.5 vs. 2.6 g/min, p = 0.74), hemostasis time (7.8 vs. 8 min, p = 0.75) and hemoglobin drop (0.9 vs. 0.7 mg/dl, p = 0.48). The complication rates were low in both groups (16.2% for HoLEP and 17.1% for MoLEP). No differences were noted in the Clavien-Dindo Classification (p = 0.63) and the Comprehensive Complication Index (p = 0.24). The rate of complications > CDC IIIa was 0.9% for HoLEP (endoscopic coagulation) and 1.7% for MoLEP (2 cases of endoscopic coagulation). No transfusions were administered. Conclusion Overall, the enucleation efficiency was high in both groups and the procedure time was short. HoLEP is an efficient and safe treatment option in experienced hands, regardless of the use of pulse modulation ...
Τύπος εγγράφου: article in journal/newspaper
Γλώσσα: English
Relation: https://repository.publisso.de/resource/frl:6492338; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10940490/
DOI: 10.1007/s00345-024-04830-8
Διαθεσιμότητα: https://repository.publisso.de/resource/frl:6492338
https://doi.org/10.1007/s00345-024-04830-8
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10940490/
Rights: https://creativecommons.org/licenses/by/4.0/
Αριθμός Καταχώρησης: edsbas.3B682AB3
Βάση Δεδομένων: BASE
Περιγραφή
DOI:10.1007/s00345-024-04830-8