Watt Matters: Safety and Efficacy of Using a 140-W High-Powered Holmium Laser for Enucleation of the Prostate (Holep)

dc.authorid Yildiz, Ali/0000-0003-0293-9989
dc.authorid Anil, Hakan/0000-0002-6333-0213
dc.authorwosid Arslan, Murat/Aau-9677-2021
dc.authorwosid Anıl, Hakan/Abe-4814-2022
dc.contributor.author Yildiz, Ali
dc.contributor.author Akdemir, Serkan
dc.contributor.author Anil, Hakan
dc.contributor.author Arslan, Murat
dc.date.accessioned 2024-05-25T12:34:11Z
dc.date.available 2024-05-25T12:34:11Z
dc.date.issued 2021
dc.department Okan University en_US
dc.department-temp [Yildiz, Ali; Arslan, Murat] Okan Univ Hosp, Fac Med, Dept Urol, Istanbul, Turkey; [Akdemir, Serkan] Private Tinaztepe Hosp, Dept Urol, Izmir, Turkey; [Anil, Hakan] Ada City Training & Res Hosp, Dept Urol, Adana, Turkey en_US
dc.description Yildiz, Ali/0000-0003-0293-9989; Anil, Hakan/0000-0002-6333-0213 en_US
dc.description.abstract Objective: This study aimed to assess the perioperative and the 12-month efficacy and safety of 140 W high-powered holmium laser for enucleation of the prostate (HP-HoLEP) for the treatment of benign prostatic obstruction. Material and methods: The data of 540 patients who underwent HoLEP by a single surgeon were analyzed retrospectively. Preoperative evaluation included a physical examination with a digital rectal examination, measurement of maximum urinary flow rate (Q(max)), postvoid residual volume (PVR) and prostate volume by transabdominal ultrasonography, serum prostate-specific antigen (PSA), international prostate symptom score (I-PSS) and international index of erectile function-5 (IIEF-5) questionnaires, and urine analysis. Morcellation, enucleation, and operation efficiencies were calculated with the resected weight divided by morcellation, enucleation, and operative times, respectively. The patients were reassessed at 1, 3, 6, and 12 months after surgery by I-PSS, IIEF-5, Q(max), PSA, and the occurrence of complications. Results: The mean operative time was 65.2 +/- 20.9 minutes. The mean enucleation time and efficiency were 53 +/- 15.1 minutes and 1.72 +/- 0.4 g/min, respectively. The mean morcellation time and efficiency were 12.3 +/- 15.1 minutes and 7.4 +/- 3.2 g/min respectively. Clavien grade 1 complications were observed in 102 (18.9%) patients, Clavien grade 2 complications in 20 (3.7%) patients, and Clavien grade 3b complications in 23 (5.4%) patients. I-PSS, Q(max), and IIEF-5 at postoperative 1, 3, 6, and 12 months were significantly better than baseline results. Conclusion: Our study demonstrated that 140 W HP-HoLEP can be performed with high enucleation efficiency, low perioperative and postoperative complication rates, and excellent functional results. en_US
dc.description.woscitationindex Emerging Sources Citation Index
dc.identifier.citationcount 1
dc.identifier.doi 10.5152/tud.2021.20558
dc.identifier.endpage 136 en_US
dc.identifier.issn 2149-3057
dc.identifier.issue 2 en_US
dc.identifier.pmid 33819443
dc.identifier.scopus 2-s2.0-85102994139
dc.identifier.scopusquality N/A
dc.identifier.startpage 131 en_US
dc.identifier.trdizinid 507729
dc.identifier.uri https://doi.org/10.5152/tud.2021.20558
dc.identifier.volume 47 en_US
dc.identifier.wos WOS:000630172700008
dc.identifier.wosquality N/A
dc.language.iso en
dc.language.iso en en_US
dc.publisher Aves en_US
dc.relation.publicationcategory Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı en_US
dc.rights info:eu-repo/semantics/openAccess en_US
dc.scopus.citedbyCount 3
dc.subject Holmium Laser For Enucleation Of The Prostate en_US
dc.subject 140 Watt en_US
dc.subject High Power en_US
dc.subject Benign Prostate Hyperplasia en_US
dc.subject Efficacy en_US
dc.title Watt Matters: Safety and Efficacy of Using a 140-W High-Powered Holmium Laser for Enucleation of the Prostate (Holep) en_US
dc.type Article en_US

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