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• W4225252341 abstract "You have accessJournal of UrologyCME1 May 2022MP04-12 EN-BLOC ENUCLEATION TECHNIQUE WITH EARLY APICAL RELEASE AND URINARY SPHINCTER PRESERVATION USING PULSE MODULATION (VIRTUAL BASKET) VS EN-BLOC HOLEP Moises Elias Socarras, Javier Reinoso Elbers, Fabio Esposito, Isabella Greco, Julio Fernandez del Alamo, Vanesa Cuadros Rivera, Diego Carrion Monsalve, Juan Gomez Rivas, Luis Llanes Gonzalez, Luis Llanes Gonzalez, and Fernando Gomez Sancha Moises Elias SocarrasMoises Elias Socarras More articles by this author , Javier Reinoso ElbersJavier Reinoso Elbers More articles by this author , Fabio EspositoFabio Esposito More articles by this author , Isabella GrecoIsabella Greco More articles by this author , Julio Fernandez del AlamoJulio Fernandez del Alamo More articles by this author , Vanesa Cuadros RiveraVanesa Cuadros Rivera More articles by this author , Diego Carrion MonsalveDiego Carrion Monsalve More articles by this author , Juan Gomez RivasJuan Gomez Rivas More articles by this author , Luis Llanes GonzalezLuis Llanes Gonzalez More articles by this author , Luis Llanes GonzalezLuis Llanes Gonzalez 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.0000000000002521.12AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Pulse modulation represents one of the important advances in holmium lasers in recent years. We aimed to assess the feasibility, efficacy, safety and outcomes of En-Bloc technique with early apical release using pulse Modulation (Virtual Basket) and compare with En Bloc HoLEP. METHODS: n=261 patients underwent En Bloc enucleation of prostate (n= 126 En Bloc HoLEP using Pulse modulation (Virtual Basket) were compared with n=135 patients in En Bloc HoLEP group. Procedures were performed by a large experienced single surgeon in laser surgery for BPE (>5000 procedures), using the Cyber Ho 150W Holmium laser (Quanta SystemSpA). Setting 2 J/ 50 Hz, with Virtual Basket (VB) activated during enucleation time and 1.2J/40 Hz with Bubble Blast (BB) for hemostasis time. 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. Both (VB & BB) are double pulse modulation effects, Virtual Basket provides excellent cutting, dissection and coagulation balance; while Bubble Blast is useful for coagulation time. RESULTS: Median patient age was 66.5±8.6 and 65.30±7.95, prostate volume 80.57±39.34 and 77.75±39.25, PSA 4.55±0.99 and 4.15±0.75 for En Bloc Holep using Virtual basket and En Bloc HoLEP respectively. Surgical time (37.32±11.9 vs 48.35±19.3), enucleation time (24.97±7.4 vs 32.75±13.08), ablation rate (3.87±1.35 vs 1.65±0.77 gr/min) and haemostasia time (2.36±2.35 vs 8.13±4.39) were significantly better for En Bloc HoLEP using Virtual basket (All p <0.001). Q max, PVR, PSA and IPSS showed significant improvement. No complications Clavien Dindo II – III were observed in En Bloc HoLEP using virtual basket group. CONCLUSIONS: En-Bloc HoLEP with early apical release using pulse modulation is feasible, safe and effective to treat patients affected by BPE. Source of Funding: None © 2022 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 207Issue Supplement 5May 2022Page: e62 Advertisement Copyright & Permissions© 2022 by American Urological Association Education and Research, Inc.MetricsAuthor Information Moises Elias Socarras More articles by this author Javier Reinoso Elbers More articles by this author Fabio Esposito More articles by this author Isabella Greco More articles by this author Julio Fernandez del Alamo More articles by this author Vanesa Cuadros Rivera More articles by this author Diego Carrion Monsalve More articles by this author Juan Gomez Rivas More articles by this author Luis Llanes Gonzalez More articles by this author Luis Llanes Gonzalez More articles by this author Fernando Gomez Sancha More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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• W4225252341 title "MP04-12 EN-BLOC ENUCLEATION TECHNIQUE WITH EARLY APICAL RELEASE AND URINARY SPHINCTER PRESERVATION USING PULSE MODULATION (VIRTUAL BASKET) VS EN-BLOC HOLEP" @default.
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