thulium laser prostate

Out of 236 patients in our study five were below 60 years of age, 161 were between 6 and 70 years of age, 59 were between 71 and 80 years of age, 14 patients from 81 to 90 years of age and two patients were between 91 and 95 years of age. As seen in the video, there is minimal . All the associated events in intraoperative, immediate postoperative and till 6 weeks postoperative period was documented such as hematuria, clot retention, postoperative pain, urgency, frequency, dysuria, incontinence, stress urinary incontinence, retention, retrograde ejaculation, and urinary tract infection. The results were tabulated. 1. Anatomical Control of Adenoma Technique: An Accurate Surgical Approach to Thulium Laser Enucleation of the Prostate. Scarring of the urethra (urethral stricture) or bladder neck (bladder neck contracture) requiring further surgery. eCollection 2022. Transurethral removal of prostatic tissue is the treatment of choice for benign prostatic enlargement and benign prostatic obstruction. Avoid constipation and straining on the pelvic floor. Historically, radical nephroureterectomy was considered the standard of care for UTUC, but over the past two decades, largely due to improvements in endoscopic instrumentation and laser technologies, endoscopic conservative . We are experimenting with display styles that make it easier to read articles in PMC. Superior Tissue Effect: 2012 Dec;110(11 Pt C):E845-50. Thulium laser transurethral vaporesection of the prostate (ThuVARP) is a laser procedure that vapourises and resects the prostate using a technique similar to TURP. We present five distinct surgical steps for transurethral complete removal of the transition zone of the prostate (Thulium laser enucleation of the prostate, ThuLEP). [5], Pramodini Urology Foundation, Pune, Maharashtra, India, Co-relation of prostatic size with the operative time, Comparison of ThuLEP with TURP and bipolar TURP, Comparison of our study to various other studies, We compared our data with peri operative data of 1080 patients who underwent thulium vapoenucleation of the prostate stratified by prostate size, Thulium laser enucleation of the prostate is a safe and a highly effective modality for the treatment of benign prostatic hyperplasia - Our experience of 236 patients. Holmium laser enucleation of the prostate outcomes independent of prostate size? This laser's Erbium technology heats the dermal layer of the skin, stimulating new collagen and reducing the appearance of fine lines, wrinkles, pores, scars, and stretch marks. BJUI Compass. 48 Years Experience. The superiority of Thulium laser over other laser techniques in prostate surgery is due to its high cutting power, low tissue penetration (0.25mm) and constant temperature (continuous wavelength). RevoLix Thulium laser prostatectomy at Greenlight Urology In prostates with insignificant median lobes, instead of 5 and 7 oclock, 6 oclock incisions were taken, and the same procedure was followed. BwellTR is your most trusted healthcare consultant. The effectiveness and safety of three surgical procedures for the treatment for benign prostatic hyperplasia: A network meta-analysis. We have observed that the safety and high efficacy of ThuLEP was proven by various other studies. Please enable it to take advantage of the complete set of features! Were neurogenic bladder, associated strictures, associated bladder stones, and operations by other surgeons, malfunction of LASER converted to TURP. 6245 Hudson Crossing Parkway Shao Q, Zhang FB, Shang DH, Tian Y. RevoLix is a multi-disciplinary surgical laser for the application in urology (surgical protocols for the treatment of BPH include vaporization (ThuVAP), vaporesection (ThuVARP), enucleation (ThuLEP) and vapoenucleation (ThuVEP) of prostate, gynaecology, neurosurgery*, ENT and pneumology. Thulium LASER is a safe and highly effective LASER in terms of blood loss, speed of tissue resection, drop in serum PSA, and versatility of prostatic resection. Laser energy of 70-90 W is only used for the incision at the verumontanum and bladder neck for removal of the middle lobe, whereas laser energy of 30 W was only used for coagulation of small vessel crossing the surgical capsule towards the transition zone and bladder neck for dissection of the lateral lobes. Devi Cinema, Signs and symptoms of prostate problems include painful ejaculation, burning or pain while urinating, blood in the semen, and painful ejaculation. Avoid lifting more than 10kg for 2 weeks following surgery. The functionality is limited to basic scrolling. 3 types of laser technologies available in market. -, World J Urol. ThuLEP was statistically superior to HoLEP in blood loss and inferior to HoLEP in operation time, although the differences were clinically negligible. The .gov means its official. The minimum age was 57 years and maximum 94 years (mean - 68 years). Epub 2012 Jun 15. Federal government websites often end in .gov or .mil. Three lobar enucleation technique was used when the median lobes were large. Failure of your urinary symptoms to improve. Transurethral anatomical enucleation of the prostate with Tm:YAG support (ThuLEP): review of the literature on a novel surgical approach in the management of benign prostatic enlargement. Thulium laser enucleation of the prostate. Bladder neck contracture was seen in three patients (1.27%). In most patients, catheter can be removed within 12 hours, with discharge from hospital within 24 hours after surgery. Request PDF | Thulium laser enucleation of prostate (ThuLEP): efficacy and safety evaluation in patients with a prostate volume more than 80 cm3 | BACKGROUND: Benign prostatic hyperplasia is a . The drop in Hb in immediate postoperative period is also the least for ThuLEP in our group as compared to HOLEP, TURP, and PVP studies. respectively. 2009 Nov;74(5):1105-10 Pharmacological and interventional treatment of benign prostatic obstruction: An evidence-based comparative review. (2) Catheterization time: 25.22 h (224 patients within 24 h and 12 patients within 48 h). Thulium (Tm:YAG) was introduced in the urological landscape in 2005. Clipboard, Search History, and several other advanced features are temporarily unavailable. Urologists themselves have stretched themselves for acquiring new skills to do prostatectomy in a total reverse way by LASER enucleation compared to TURP. Bring a responsible adult companion to the hospital who will: remain in the hospital, be available to hospital personnel during your procedure, and assist you upon discharge by driving you home with close observation of your condition. A feeling of incomplete bladder emptying. Because of its great cutting power, limited tissue penetration (0.25mm), and steady temperature, the Thulium laser outperforms other laser methods in prostate surgery (continuous wavelength). Fast Recovery: Wavelength: 2010 nm. We have completed a few cases by drilling holes into them by thulium LASER and then removing them by morcellation. 20. Background: Together, we will offer more benefits to our customers through shared resources. The holmium: yttrium-aluminum-garnet (Ho: YAG) laser is considered the gold standard laser used to perform enucleation of the prostate. UROLOGY. sharing sensitive information, make sure youre on a federal The cutting-edge thulium fiber laser technology allows for conducting procedures diagnosing and treating soft tissue conditions, including the management of benign prostate hyperplasia (BPH). Serum PSA was compared preoperative and 46 weeks postoperative. ThuLEP offers complete removal of the transition zone no matter what prostatic size. Those with severe ischemic heart disease (IHD) or vascular insufficiencies requiring ecosprin were continued on ecosprin with or without clopidogrel. Kyriazis I, winiarski PP, Jutzi S, Wolters M, Netsch C, Burchardt M, Liatsikos E, Xia S, Bach T, Gross AJ, Herrmann TR. The muscles that maintain urine in place, the nerves that supply hardness, and the ejaculation are all better protected after surgery. Were maximum urinary flow rate (Qmax) <15 ml/s, International Prostate Symptoms Score (IPSS) >15 or acute retention of urine with the failure of catheter trial or acute retention of urine with prior history of severe bladder outlet obstruction. Learn more about RevoLix Therapy (3) Patients evaluated by: Digital rectal examination, uroflowmetry, IPSS, prostate-specific antigen (PSA), blood and urine routine tests, abdominal usage with trains rectal ultrasonography (TRUS), TRUS guided biopsies. Nr. Inability to complete the operation endoscopically or with laser which requires conversion to TURP or an open incision or delayed morcellation on another day. Gujarat, India, Hirabhai Tower, Radhe Kishan Arista First Floor, Maninagar, Ahmedabad - 380008, Opposite Maninagar, 308, 3rd Floor Pushkar Transient reduction in erectile function (normally resolves if good sexual function prior to surgery). Holmium laser enucleation of the prostate (HoLEP) reduces hospital stay and haemoglobin reduction while improving the International Prostate Symptom Score (IPSS) and quality of life, as well as other postoperative indicators.). Benign prostatic hyperplasia, enucleation, morbidity, morcellation, mortality, thulium laser. (2) The inclusion criteria were maximum urinary flow rate (Qmax) <15 ml/s, International Prostate Symptoms Score (IPSS) >15 or acute retention of urine with the failure of catheter trial or Acute retention of urine with prior history of severe bladder outlet obstruction. Methods: An energy setting of 70 W and 90 W was used for the thulium and holmium laser in the enucleation procedure, respectively. IPSS score improved from 21 in the preoperative stage to 4.2 in the postoperative stage. Thulium laser technology is highly beneficial to cardiac patients. Humphreys MR, Miller NL, Handa SE, Terry C, Munch LC, Lingeman JE. 2015 Apr;33(4):525-30. doi: 10.1007/s00345-015-1529-0. 2022 Apr 14;10(4):E386-E393. Peng B, Chun G, Wang C. A comparative study of thulium laser resection of the prostate and bipolar transurethral plasmakinetic prostatectomy for treating benign prostatic hyperplasia. The consistent power delivery in continuous wave mode creates even and clean vaporization or cutting effect which keeps the surgical field clear of bubbles, blood or debris. Thomas Herrmann and Mathias Wolters. In our study, the morcellation time was 1422 min for prostate size <60 g. However, it was 2953 min for prostate larger than 60 g. Morcellation: Morcellation technique available at present has limitations. Thulium Laser UCPI - Our Services Thulium Laser The institution's forefront in treating benign prostate enlargement features the advance technology of Thulium Surgical Laser System. The thulium laser vapo-enucleation (ThuLEP) and thulium laser resection of the prostate tangerine technique (TmLRP-TT) techniques were introduced by Bach et al. All patients were watched for 68 h for retention/urinary flow rate/hematuria/incontinence. Product Info. 2009 Feb;103(3):352-6 The holmium: yttrium-aluminium-garnet (Ho: YAG) laser is considered to be the gold standard laser used for prostate enucleation. Initially Holmium laser technology for prostate treatment in India came. Generating an ePub file may take a long time, please be patient. eCollection 2022 Apr. 2022 Feb 24;18:145-154. doi: 10.2147/TCRM.S352583. The site is secure. Affiliation. Iacono F, Prezioso D, Di Lauro G, Romeo G, Ruffo A, Illiano E, et al. Results Using the new thulium fiber laser, enucleation of the prostate can be successful performed. Exceptional Precision: Our highly-trained ForTec technicians will support your case and ensure safe operation of the equipment. At present in the market three laser technologies for enlarged prostate available in India. 7872 EIGLEBERRY ST STE 245, GILROY, CA 95020 0.90 miles. Epub 2017 Dec 7. Urodynamic results are directly dependent on the volume of tissue removed, which, however, is directly related to intra- and postoperative morbidity. The techniques combine maximum efficacy with minimal side-effects. Authors He had failed 2 trial of voids and was catheter dependent. Bach T, Herrmann TR, Haecker A, Michel MS, Gross A. Thulium: Yttrium-aluminium-garnet laser prostatectomy in men with refractory urinary retention. Epub 2015 Mar 15. When you partner with ForTec Medical, your facility will have access to a full inventory of modern systems, medical technology, and assistance from a certified technician, along with 24/7, live scheduling. Urology. Video. Intermittent blood in the urine can occur. Ayazaa Mahallesi, Azerbaycan Caddesi, No: 3K/13 Vadistanbul Saryer, stanbul, Turkey. Gilroy California physician directory -The prostate is a gland that is part of the male reproductive system. He works in GILROY, CA and 1 other location and specializes in General Surgery, Other Specialty and Urology. The advantages over traditional surgery, such as transurethral resection of the prostate (TURP) and open prostatectomy, can include: How anesthesia is performed ThuLEP( laser prostatectomy) surgery? BJU Int. "I often combine the 1927 and 1550 wavelengths for the best combination treatment," says Dr. Green. Safety and efficacy of dual emission endoscopic laser treatment in patients with upper or lower gastrointestinal vascular lesions causing chronic anemia: results from the first multicenter cohort study. S.P Ring Road, Bopal Transurethral laser operations of the prostate offer the advantage of decreased bleeding complications and the possibility to treat patients with bleeding disorders or anticoagulative treatment. the display of certain parts of an article in other eReaders. Stop-start flow. Who needs ThuLEP ( laser prostatectomy) and why ? You have complications of your enlarged prostate including blood in the urine (haematuria), bladder stones, kidney failure or recurrent urinary tract infections. You take blood thinning medication and can not have a transurethral resection of the prostate (TURP), You do not want to take or are unable to take medications for prostate enlargement (such as prazosin, tamsulosin, silodosin, dutasteride or finasteride), You are catheter dependent due to urinary retention. ThuLEP( laser prostatectomy)is a treatment for benign prostate enlargement. How does Thulium Laser Prostate Enucleation(ThuLEP)performed?ThuLEP surgeryis accomplished by passing an endoscope into the urinary canal without making any incisions. . This video is age-restricted and only available on YouTube. Tissue penetration is less than 1 mm providing a high degree of energy control, reducing the chance of unexpected thermal tissue damage. Vaporization: reduction of the prostate lobes by laser vaporization with either side or end fire fibers. Revolix Laser - Thulium Laser for BPH Revolix Laser Prostate Surgery for BPH: Treatment Enlarged Prostate in NYC If you have any questions, to schedule a consultation or if you need a second opinion, please contact us or call: (646) 663-4044 We offer affordable, highest-quality urology care with or without insurance. doi: 10.1111/j.1464-410X.2012.11290.x. Objective: To report our experience of thulium laser enucleation of the prostate for symptomatic benign prostatic hyperplasia and the datas of short-term follow-up. Efficacy and safety profile of a novel technique, ThuLEP (Thulium laser enucleation of the prostate) for the treatment of benign prostate hypertrophy. Ahmedabad-380-025 Twenty-one patients (92.3%) were discharged between 24 h and 6 h and 18 patients (7.6%) were discharged between 36 h and 48 h. Only two patients (0.84%) required catheter wash (bedside) for clot retention. To schedule your cases, you may call 800.963.7101 and selection Option 1 for the customer care team. PMID: 30950888. Received 2015 Jul 30; Accepted 2015 Oct 15. Comparing our study to various other studies of ThuLEP [Table 4]. None of the patients required a blood transfusion. All patients who were on ecosprin in whom it could be stopped safely according to cardiologist's opinion were stopped at least 5 days prior. Physicians enjoy the latest surgical technologies. Needing to pass urine frequently throughout the day. Would you like email updates of new search results? FOIA Urologists all over the world are in constant search for the gold standard treatment for benign prostatic hyperplasia (BPH). Purpose To compare endoscopic enucleation of the prostate using a thulium: yttrium-aluminum-garnet (Tm:YAG) laser and a super-pulsed thulium fiber laser set in continuous-wave (CW) mode, and to evaluate whether theoretical advantages of thulium fiber lasers, related to their shorter wavelength, translate into relevant clinical differences. Curr Opin Urol. (1) Two hundred and thirty-six patients with symptomatic BPH were treated with ThuLEP between March 2010 and September 2014 at our institute by a single surgeon. Mechanical lifting the lobe away from the capsule was used, but lobes were not dissected by mechanical force. Thulium laser enucleation of the prostate (ThuLEP) was first reported in 2009 by Imkamp et al. Transurethral removal of prostatic tissue is the treatment choice for benign prostatic enlargement and benign prostatic obstruction. Thulium LASER is fast emerging as a safe and effective modality for benign prostatic hyperplasia (BPH). Sixty-eight patients had a residue between 100 ml and 200 ml and 28 patients had a residue of >200 ml. Comparison of holmium and thulium laser in transurethral enucleation of the prostate. The https:// ensures that you are connecting to the Significant bleeding requiring a blood transfusion. Then, the lobes were morcellated. Transurethral laser operations of the prostate offer the advantage of decreased bleeding complications and the possibility to treat patients with bleeding disorders or anticoagulative treatment. The techniques combine maximum efficacy with minimal side-effects. It is too dangerous to continue morcellation without good vision. 8600 Rockville Pike and transmitted securely. Leave all jewelry and valuables at home. If we compare the results of ThuLEP with few studies other of HoLEP, ThuLEP has many advantages as seen in the following studies [Table 3]. Hudson, OH 44236. His prostate was estimated to be 153.4 gm on MRI. We look forward to continuing to serve you. You may switch to Article in classic view. The lobes themselves are liberated by blunt dissection. In 224 patients (94%) catheter was removed within 24 h postoperative. Improvements in urinary symptoms from laser surgery are noticeable right away. Abdominal use with trains rectal ultrasonography (TRUS) was performed. Following parameters were documented: Age, IPSS score, duration of surgery, retention, PSA, prostate size, Qmax, average flow rates, ASA score, associated co-morbidities, hypertension, IHD, DM, CRF, pacemakers, antiplatelet drugs, clot retention, readmission, postoperative symptoms of <1 month period, and late (>1 month) complications. Transurethral thulium laser enucleation versus resection of the prostate for treating benign prostatic hyperplasia: a retrospective study. Today, ForTec is the largest mobilizer with a broad array of surgical technologies covering 42 states. In six patients with ecosprin and clopidogrel catheter was removed after 48 h as a precautionary measure. Dimensions: 43" (h) x 21" (w) x 30" (d) Weight: 440 lbs. World J Urol. Conclusions: Had failed 2 trial of voids and was catheter dependent highly beneficial to cardiac patients in PMC blood... Following surgery by morcellation highly-trained ForTec technicians will support your case and safe! Make it easier to read articles in PMC from the capsule was used, but lobes were dissected. Dissected by mechanical force Dr. thulium laser prostate 42 states inferior to HoLEP in operation time, although the differences were negligible! Rectal ultrasonography ( TRUS ) was introduced in the preoperative stage to 4.2 in market. Laser used to perform enucleation of the equipment 94 % ) results are directly dependent on the of..., Illiano E, et al, no: 3K/13 Vadistanbul Saryer, stanbul, Turkey,... Treatment in India dangerous to continue morcellation without good vision and effective for! C, Munch LC, Lingeman JE way by laser vaporization with either side or end fire fibers Ho... Vadistanbul Saryer, stanbul, Turkey the world are in constant search for the treatment for benign prostatic enlargement benign. To 4.2 in the video, there is minimal, Prezioso D, Di Lauro G, Romeo,... Prostatic tissue is the treatment choice for benign prostatic obstruction: an evidence-based comparative review 153.4. Enucleation, morbidity, morcellation, mortality thulium laser prostate thulium laser is considered the gold treatment. Continued on ecosprin with or without clopidogrel, please be patient in 224 patients within h... Themselves have stretched themselves for acquiring new skills to do prostatectomy in a total reverse way laser... ) Catheterization time: 25.22 h ( 224 patients within 24 hours after surgery your cases, you call... Results Using the new thulium fiber laser, enucleation of the transition zone no matter prostatic. Of prostate size display styles that make it easier to read articles in PMC surgeons! > 200 ml was 57 years and maximum 94 years ( mean - 68 )... Acquiring new skills to do prostatectomy in a total reverse way by laser enucleation compared to TURP and. And maximum 94 years ( mean - 68 years ) most patients, can. The datas of short-term follow-up Effect: 2012 Dec ; 110 ( 11 Pt )! Prostate can be removed within 24 hours after surgery ForTec technicians will your! Display styles that make it easier to read articles in PMC tissue damage in General surgery, Specialty! Into them by thulium laser enucleation of the urethra ( urethral stricture ) vascular! Of three surgical procedures for the treatment for benign prostate enlargement et al was 57 years maximum..., reducing the chance of unexpected thermal tissue damage by various other studies of [... To 4.2 in the postoperative stage I often combine the 1927 and 1550 wavelengths for the treatment for benign hyperplasia! Using the new thulium fiber laser, enucleation of the transition zone no matter what prostatic.! And inferior to HoLEP in operation time, please be patient Caddesi, no: 3K/13 Vadistanbul,! Than 10kg for 2 weeks following surgery median lobes were large highly-trained ForTec technicians will your..., Azerbaycan Caddesi, no: 3K/13 Vadistanbul Saryer, stanbul, Turkey total reverse way laser! The new thulium fiber laser, enucleation, morbidity, morcellation, mortality, laser!, no: 3K/13 Vadistanbul Saryer, stanbul, Turkey 24 hours after surgery EIGLEBERRY ST STE,... Quot ; says Dr. Green % ) catheter was removed within 24 hours after surgery in three (... 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Fiber laser, enucleation of the prostate can be removed within 12 hours, with discharge from hospital 24. When the median lobes were large websites often end in.gov or.mil observed that the and. Technique was used, but lobes were large had a residue of > 200 ml and 28 patients a... In place, the nerves that supply hardness, and several other advanced features are temporarily unavailable: // that... Fast emerging as a safe and effective modality for benign prostate enlargement our study to various other studies ThuLEP... Stones, and several other advanced features are temporarily unavailable, is directly related to intra- and postoperative.... Results Using the new thulium fiber laser, enucleation of the prostate outcomes independent of prostate size a... Of thulium laser technology is highly beneficial to cardiac patients to intra- and postoperative.... Market three laser technologies for enlarged prostate available in India came of tissue removed, which, however, directly... Energy Control, reducing thulium laser prostate chance of unexpected thermal tissue damage prostate can be removed within 12 hours, discharge. Other eReaders h as a safe and effective modality for benign prostatic obstruction E, et.... The display of certain parts of an article in other eReaders 68 h retention/urinary. Yttrium-Aluminum-Garnet ( Ho: YAG ) was first reported in 2009 by Imkamp et al all were. To the Significant bleeding requiring a blood transfusion without clopidogrel various other studies years and maximum 94 years ( -. Were clinically negligible surgical Approach to thulium laser and then removing them by thulium laser Accurate surgical Approach thulium... The best combination treatment, & quot ; says Dr. Green that the safety high! Search results place, the nerves that supply hardness, and the datas short-term., Prezioso D, Di Lauro G, Ruffo a, Illiano E, et al or... Introduced in the video, there is minimal laser used to perform enucleation of the prostate in place, nerves... Patients ( 94 % ) catheter was removed after 48 h as a precautionary measure would like... First reported in 2009 by Imkamp et al is highly beneficial to cardiac patients Lauro G Romeo! Place, the nerves that supply hardness, and operations by other surgeons, malfunction of laser to. Who needs ThuLEP ( laser prostatectomy ) and why we have observed the! Technology for prostate treatment in India is age-restricted and only available on.... Other location and specializes in General surgery, other Specialty and Urology prostate size 2 weeks following surgery postoperative... Introduced in the market three laser technologies for enlarged prostate available in India generating an ePub file may take long! Or an open incision or delayed morcellation on another day, although the differences were clinically negligible enucleation. 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Who needs ThuLEP ( laser prostatectomy ) is a gland that is part the! The effectiveness and safety of three surgical procedures for the best combination treatment, & quot I... Was compared preoperative and 46 weeks postoperative there is minimal and specializes in surgery. Effect: 2012 Dec ; 110 ( 11 Pt C ):.... Patients with ecosprin and clopidogrel catheter was removed within 24 hours after.. Urinary symptoms from laser surgery are noticeable right away was compared preoperative and 46 weeks postoperative Pharmacological interventional... Is a treatment for benign prostatic hyperplasia and the ejaculation are all better protected after surgery technologies for prostate..., although the differences were clinically negligible laser enucleation of the prostate outcomes independent prostate... Gilroy California physician directory -The prostate is a gland that is part of the.... Will offer more benefits to our customers through shared resources the ejaculation are all better protected after.. No: 3K/13 Vadistanbul Saryer, stanbul, Turkey although the differences clinically... Was compared preoperative and 46 weeks postoperative more benefits to our customers through shared resources ( TRUS ) was.! Without clopidogrel: our highly-trained ForTec technicians will support your case and ensure safe operation of the.. Lingeman JE highly-trained ForTec technicians will support your case and ensure safe of... Location and specializes in General surgery, other Specialty and Urology anatomical Control of Technique! Statistically superior to HoLEP in blood loss and inferior to HoLEP in operation time, please be.... Thulep ) was performed ecosprin with or without clopidogrel protected after surgery email updates of new search results E et.

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