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Szewczyk M, Jesionek-Kupnicka D, Lipiński MI, et al. The evaluation of tissue mass loss in the incision line of prostate with benign hyperplasia performed using holmium laser and cutting electrode. Cent European J Urol. 2014;67(3):282-6doi: 10.5173/ceju.2014.03.art14.
Szewczyk, M., Jesionek-Kupnicka, D., Lipiński, M. I., Lipinski, P., & Różański, W. (2014). The evaluation of tissue mass loss in the incision line of prostate with benign hyperplasia performed using holmium laser and cutting electrode. Central European journal of urology, 67(3), 282-6. https://doi.org/10.5173/ceju.2014.03.art14
Szewczyk, Mariusz, et al. "The evaluation of tissue mass loss in the incision line of prostate with benign hyperplasia performed using holmium laser and cutting electrode." Central European journal of urology vol. 67,3 (2014): 282-6. doi: https://doi.org/10.5173/ceju.2014.03.art14
Szewczyk M, Jesionek-Kupnicka D, Lipiński MI, Lipinski P, Różański W. The evaluation of tissue mass loss in the incision line of prostate with benign hyperplasia performed using holmium laser and cutting electrode. Cent European J Urol. 2014;67(3):282-6. doi: 10.5173/ceju.2014.03.art14. Epub 2014 Aug 18. PMID: 25247088; PMCID: PMC4165671.
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Cent European J Urol. 2014;67(3):282-6. doi: 10.5173/ceju.2014.03.art14. Epub 2014 Aug 18.

The evaluation of tissue mass loss in the incision line of prostate with benign hyperplasia performed using holmium laser and cutting electrode.

Central European journal of urology

Mariusz Szewczyk, Dorota Jesionek-Kupnicka, Marek Ireneusz Lipiński, Piotr Lipinski, Waldemar Różański

Affiliations

  1. 2 Clinic of Urology, Medical University of ?ód?, Poland.
  2. Pathology Unit and Department of Oncology, Medical University of ?ód?, Poland.

PMID: 25247088 PMCID: PMC4165671 DOI: 10.5173/ceju.2014.03.art14

Abstract

INTRODUCTION: The aim of this study is to compare the changes in the incision line of prostatic adenoma using a monopolar cutting electrode and holmium laser, as well as the assessment of associated tissue mass and volume loss of benign prostatic hyperplasia (BPH).

MATERIAL AND METHODS: The material used in this study consisted of 74 preparations of prostatic adenoma obtained via open retropubic adenomectomy, with an average volume of 120.7 ml. The material obtained cut in vitro before fixation in formaldehyde. One lobe was cut using holmium laser, the other using a monopolar cutting electrode. After the incision was made, tissue mass and volume loss were evaluated. Thermocoagulation changes in the incision line were examinedunder light microscope.

RESULTS: In the case of the holmium laser incision, the average tissue mass loss was 1.73 g, tissue volume loss 3.57 ml and the depth of thermocoagulation was 1.17 mm. When the monopolar cutting electrode was used average tissue mass loss was 0.807 g, tissue volume loss 2.48 ml and the depth of thermocoagulation was 0.19 mm.

CONCLUSIONS: Where holmium laser was used, it was observed that the layer of tissue with thermocoagulation changes was deeper than in the case of the monopolar cutting electrode. Moreover, it was noticed that holmium laser caused bigger tissue mass and volume loss than the cutting electrode.

Keywords: BPH; TURP; holmium laser; mass loss; prostate

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