V06-02 A NOVEL TECHNIQUE FOR EFFECTIVE RESECTION OF ADENOMA AFTER PROSTATE ENUCLEATION: AN ECONOMIC ALTERNATIVE TO MORCELLATION

Abstract

You have accessJournal of UrologyBPH & Infection & Imaging (V06)1 Sep 2021V06-02 A NOVEL TECHNIQUE FOR EFFECTIVE RESECTION OF ADENOMA AFTER PROSTATE ENUCLEATION: AN ECONOMIC ALTERNATIVE TO MORCELLATION Linjian Mo, Joseph Ivey, Raymond Pak, and Jiwen Cheng Linjian MoLinjian Mo More articles by this author , Joseph IveyJoseph Ivey More articles by this author , Raymond PakRaymond Pak More articles by this author , and Jiwen ChengJiwen Cheng More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002021.02AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Morcellation is the most common tool used to remove adenoma from the bladder after prostate enucleation. Morcellators are relatively expensive and are not available at every medical center. We present a cost-effective, safe, and efficient alternative to morcellation. METHODS: Prostate enucleation is first carried out in standard fashion. At our institution, this is completed with a combination of blunt dissection and electrocautery with a plasma kinetic button device and an electric loop. After the adenoma is fully dissected off the prostatic capsule, it is floating freely in the bladder. A suprapubic puncture is made with a laparoscopic insufflation needle under direct cystoscopic visualization. A laparoscopic grasper is then passed through the needle and into the bladder. The grasper is then used to immobilize the adenoma. The adenoma is then resected into small fragments with an electric loop, which are then easily evacuated from the bladder through the cystoscope. RESULTS: The laparoscopic grasper passed through the suprapubic puncture successfully immobilizes the adenoma in the bladder. This results in safe and efficient harvesting of the adenoma with the electric loop. CONCLUSIONS: This technique is a safe, efficient, and cost-effective method for removing adenoma after prostate enucleation. It is less invasive than a suprapubic cystostomy, and less costly than a commercial transurethral morcellator. This method could be expanded to be used with HoLEP for institutions equipped with a holmium laser but not a morcellator. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e449-e449 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Linjian Mo More articles by this author Joseph Ivey More articles by this author Raymond Pak More articles by this author Jiwen Cheng More articles by this author Expand All Advertisement Loading ...