Low- vs. High-Power Laser for Holmium Laser Enucleation of Prostate
Holmium laser enucleation of the prostate (HoLEP) constitutes an established technique for treating patients with symptomatic bladder outlet obstruction. Most surgeons perform surgeries using high-power (HP) settings. Nevertheless, HP laser machines are costly, require high-power sockets, and may be...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-03-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/5/2084 |
| _version_ | 1797614967845814272 |
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| author | Vasileios Gkolezakis Bhaskar Kumar Somani Theodoros Tokas |
| author_facet | Vasileios Gkolezakis Bhaskar Kumar Somani Theodoros Tokas |
| author_sort | Vasileios Gkolezakis |
| collection | DOAJ |
| description | Holmium laser enucleation of the prostate (HoLEP) constitutes an established technique for treating patients with symptomatic bladder outlet obstruction. Most surgeons perform surgeries using high-power (HP) settings. Nevertheless, HP laser machines are costly, require high-power sockets, and may be linked with increased postoperative dysuria. Low-power (LP) lasers could overcome these drawbacks without compromising postoperative outcomes. Nevertheless, there is a paucity of data regarding LP laser settings during HoLEP, as most endourologists are hesitant to apply them in their clinical practice. We aimed to provide an up-to-date narrative looking at the impact of LP settings in HoLEP and comparing LP with HP HoLEP. According to current evidence, intra- and post-operative outcomes as well as complication rates are independent of the laser power level. LP HoLEP is feasible, safe, and effective and may improve postoperative irritative and storage symptoms. |
| first_indexed | 2024-03-11T07:19:48Z |
| format | Article |
| id | doaj.art-9be81cd23224461fbe6b76d72ea78bda |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T07:19:48Z |
| publishDate | 2023-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-9be81cd23224461fbe6b76d72ea78bda2023-11-17T08:02:26ZengMDPI AGJournal of Clinical Medicine2077-03832023-03-01125208410.3390/jcm12052084Low- vs. High-Power Laser for Holmium Laser Enucleation of ProstateVasileios Gkolezakis0Bhaskar Kumar Somani1Theodoros Tokas2Department of Urology, Athens Medical Centre, Distomou 5-7, 151 25 Marousi, GreeceDepartment of Urology, University Hospital Southampton NHS Trust, Southampton SO16 6YD, UKDepartment of Urology and Andrology, General Hospital Hall i.T., Milser Str. 10., A-6060 Hall in Tirol, AustriaHolmium laser enucleation of the prostate (HoLEP) constitutes an established technique for treating patients with symptomatic bladder outlet obstruction. Most surgeons perform surgeries using high-power (HP) settings. Nevertheless, HP laser machines are costly, require high-power sockets, and may be linked with increased postoperative dysuria. Low-power (LP) lasers could overcome these drawbacks without compromising postoperative outcomes. Nevertheless, there is a paucity of data regarding LP laser settings during HoLEP, as most endourologists are hesitant to apply them in their clinical practice. We aimed to provide an up-to-date narrative looking at the impact of LP settings in HoLEP and comparing LP with HP HoLEP. According to current evidence, intra- and post-operative outcomes as well as complication rates are independent of the laser power level. LP HoLEP is feasible, safe, and effective and may improve postoperative irritative and storage symptoms.https://www.mdpi.com/2077-0383/12/5/2084prostate enucleationlaser powerholmiumHoLEP |
| spellingShingle | Vasileios Gkolezakis Bhaskar Kumar Somani Theodoros Tokas Low- vs. High-Power Laser for Holmium Laser Enucleation of Prostate Journal of Clinical Medicine prostate enucleation laser power holmium HoLEP |
| title | Low- vs. High-Power Laser for Holmium Laser Enucleation of Prostate |
| title_full | Low- vs. High-Power Laser for Holmium Laser Enucleation of Prostate |
| title_fullStr | Low- vs. High-Power Laser for Holmium Laser Enucleation of Prostate |
| title_full_unstemmed | Low- vs. High-Power Laser for Holmium Laser Enucleation of Prostate |
| title_short | Low- vs. High-Power Laser for Holmium Laser Enucleation of Prostate |
| title_sort | low vs high power laser for holmium laser enucleation of prostate |
| topic | prostate enucleation laser power holmium HoLEP |
| url | https://www.mdpi.com/2077-0383/12/5/2084 |
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