MP09-14 EN-BLOC ENUCLEATION TECHNIQUE USING MOSES LASER (EN-BLOC MOLEP) VS EN-BLOC HOLEP: COMPARING INTRA AND POST-OPERATIVE OUTCOMES FOR EN-BLOC ENUCLEATION TECHNIQUE WITH EARLY APICAL RELEASE, TO TREAT PATIENTS AFFECTED BY BENIGN PROSTATIC ENLARGEMENT (BPE)

Abstract

You have accessJournal of UrologyBenign Prostatic Hyperplasia: Surgical Therapy & New Technology II (MP09)1 Sep 2021MP09-14 EN-BLOC ENUCLEATION TECHNIQUE USING MOSES LASER (EN-BLOC MOLEP) VS EN-BLOC HOLEP: COMPARING INTRA AND POST-OPERATIVE OUTCOMES FOR EN-BLOC ENUCLEATION TECHNIQUE WITH EARLY APICAL RELEASE, TO TREAT PATIENTS AFFECTED BY BENIGN PROSTATIC ENLARGEMENT (BPE) Moises Rodriguez Socarras, Julio Fernandez Del Alamo, Fabio Esposito, Javier Reinoso Elbers, Juan Gomez Rivas, Diego Carrion, Vanesa Cuadros Rivera, Luis Llanes Gonzalez, Pablo Juarez del Dago, and Fernando Gomez Sancha Moises Rodriguez SocarrasMoises Rodriguez Socarras More articles by this author , Julio Fernandez Del AlamoJulio Fernandez Del Alamo More articles by this author , Fabio EspositoFabio Esposito More articles by this author , Javier Reinoso ElbersJavier Reinoso Elbers More articles by this author , Juan Gomez RivasJuan Gomez Rivas More articles by this author , Diego CarrionDiego Carrion More articles by this author , Vanesa Cuadros RiveraVanesa Cuadros Rivera More articles by this author , Luis Llanes GonzalezLuis Llanes Gonzalez More articles by this author , Pablo Juarez del DagoPablo Juarez del Dago More articles by this author , and Fernando Gomez SanchaFernando Gomez Sancha More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000001954.14AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Moses technology, introduces a pulse-shape modulation for Holmium YAG; optimizing energy transmission to the target tissue, leading to more concise incisions and better coagulation profile. We aimed to assess the feasibility, efficacy and safety outcomes of En-Bloc technique with early apical release using Moses Laser Enucleation of Prostate (En-Bloc MoLEP) and compare with En Bloc HoLEP. METHODS: n=217 patients underwent En Bloc enucleation of prostate (n=80 En Bloc MoLEP, n=137 En Bloc HoLEP) April - November 2019. All procedures were performed by a large experienced single surgeon in laser surgery for BPE, using the Lumenis PulseTM 120W Holmium laser equipped with Moses technology, Settings: 2 J/60 Hz for enucleation,1 J/40Hz for hemostasis. Patients were followed-up at 1, 3, 6, 12 months and intra- and post-operative parameters as well as functional results were assessed: prostate volume, Q max, PVR, PSA, IPSS, surgical time, enucleation time, ablation rate, length of hospitalization and complications according to Clavien Dindo. RESULTS: Median patient age was 66.73±13.21 and 66.30±7.95, prostate volume 86.66±50.01 and 75.77±42.25 for En Bloc MoLEP and En Bloc HoLEP respectively. Surgical time (32.16±14.46 vs 47.58±21.32), enucleation time (22.10±9.27 vs 31.46±14.85), ablation rate (4.11±2.41 vs 2.54±1.31 gr/min) and haemostasia time (3.01±2.50 vs 8.35±5.38) were significantly better for En Bloc MoLEP (All p<0.05) Table 1, Fig.1. Q max, PVR, PSA and IPSS showed significant improvement. No patient needed blood transfusion and no major complications Clavien Dindo II - III were observed. CONCLUSIONS: En-Bloc MoLEP with early apical release is feasible, safe and effective to treat patients affected by BPE. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e165-e165 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Moises Rodriguez Socarras More articles by this author Julio Fernandez Del Alamo More articles by this author Fabio Esposito More articles by this author Javier Reinoso Elbers More articles by this author Juan Gomez Rivas More articles by this author Diego Carrion More articles by this author Vanesa Cuadros Rivera More articles by this author Luis Llanes Gonzalez More articles by this author Pablo Juarez del Dago More articles by this author Fernando Gomez Sancha More articles by this author Expand All Advertisement Loading ...