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Testosterone Replacement, Low T, HCG, & Beyond
Prostate Related Issues
The novel HoLEP technique Omega Sign improves continence outcomes of surgery
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<blockquote data-quote="madman" data-source="post: 184753" data-attributes="member: 13851"><p><strong>Introduction & Objectives:</strong> <em><span style="color: rgb(184, 49, 47)">Holmium-laser enucleation of the prostate (HoLEP) has been a promising surgery of the prostate since its first introduction. Although there are 10 different HoLEP techniques in the literature, <u>stress UI is common because surgery is not performed based on the topographic anatomy of the external sphincter</u>. </span><span style="color: rgb(44, 130, 201)">We have developed a new HoLEP method named as the ‘’Omega Sign Technique”, <u>which is based on the topographic anatomy of the external sphincter, could provide better continence outcomes and decrease SUI rate</u>. </span></em></p><p></p><p><strong>Materials & Methods:</strong> After Ethical Committee approval has been obtained, the data of 400 patients who underwent HoLEP by a single surgeon between May 2016-February 2019 were retrospectively reviewed. The patients were divided into two groups, the first underwent the Gilling’s technique (Group 1; n=200) and the second the novel ‘’Omega Sign’’ technique (Group 2; n=200). Continence status and post-micturition symptoms (PMS) were evaluated according to the standards recommended by the international continence status (ICS). </p><p></p><p><strong>Results: </strong>The data of 400 HoLEP procedures between May 2016 and February 2019 were analyzed, comparing Group 1 (n=200) and Group 2 (n=200). Stress urinary incontinence (SUI) rate was significantly lower in Group 2 on the day of catheter removal and 1 st month (p<0.005). Also, urge urinary incontinence (UUI) rate and PMS were significantly lower in Group 2 (Table 1) (Figure 1). </p><p></p><p><strong>Conclusions: </strong><em><strong><span style="color: rgb(184, 49, 47)">We found better continence results comparable functional outcomes and equally minimal complications as compared to standard HoLEP technique.</span></strong></em> <span style="color: rgb(44, 130, 201)"><strong><em>We believe that the novel ‘Omega sign’ technique decreases SUI rate and will become standardized and easy to understand, thereby bringing and creating a shorter learning curve. </em></strong></span></p></blockquote><p></p>
[QUOTE="madman, post: 184753, member: 13851"] [B]Introduction & Objectives:[/B] [I][COLOR=rgb(184, 49, 47)]Holmium-laser enucleation of the prostate (HoLEP) has been a promising surgery of the prostate since its first introduction. Although there are 10 different HoLEP techniques in the literature, [U]stress UI is common because surgery is not performed based on the topographic anatomy of the external sphincter[/U]. [/COLOR][COLOR=rgb(44, 130, 201)]We have developed a new HoLEP method named as the ‘’Omega Sign Technique”, [U]which is based on the topographic anatomy of the external sphincter, could provide better continence outcomes and decrease SUI rate[/U]. [/COLOR][/I] [B]Materials & Methods:[/B] After Ethical Committee approval has been obtained, the data of 400 patients who underwent HoLEP by a single surgeon between May 2016-February 2019 were retrospectively reviewed. The patients were divided into two groups, the first underwent the Gilling’s technique (Group 1; n=200) and the second the novel ‘’Omega Sign’’ technique (Group 2; n=200). Continence status and post-micturition symptoms (PMS) were evaluated according to the standards recommended by the international continence status (ICS). [B]Results: [/B]The data of 400 HoLEP procedures between May 2016 and February 2019 were analyzed, comparing Group 1 (n=200) and Group 2 (n=200). Stress urinary incontinence (SUI) rate was significantly lower in Group 2 on the day of catheter removal and 1 st month (p<0.005). Also, urge urinary incontinence (UUI) rate and PMS were significantly lower in Group 2 (Table 1) (Figure 1). [B]Conclusions: [/B][I][B][COLOR=rgb(184, 49, 47)]We found better continence results comparable functional outcomes and equally minimal complications as compared to standard HoLEP technique.[/COLOR][/B][/I] [COLOR=rgb(44, 130, 201)][B][I]We believe that the novel ‘Omega sign’ technique decreases SUI rate and will become standardized and easy to understand, thereby bringing and creating a shorter learning curve. [/I][/B][/COLOR] [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Prostate Related Issues
The novel HoLEP technique Omega Sign improves continence outcomes of surgery
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