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Published in: Current Bladder Dysfunction Reports 2/2023

01-04-2023 | Benign Prostatic Hypertrophy

Moses Laser Enucleation of the Prostate (MoLEP): Use of Pulse Modulated Holmium Laser Technology for Prostate Enucleation

Authors: Mark A. Assmus, Amy E. Krambeck

Published in: Current Bladder Dysfunction Reports | Issue 2/2023

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Abstract

Purpose of Review

In this review, the current literature available that evaluates the use of Moses pulse-modulated holmium technology for laser enucleation of the prostate will be addressed. Topics include safety and surgical case efficiency, length of post-operative foley catheter and hospital stay, surgical outcomes, and areas of future research.

Recent Findings

Some early retrospective studies and select randomized control trials seek to determine if novel laser technologies can improve peri-operative outcome measures or reduce the morbidity of endoscopic enucleation of the prostate while maintaining or improving the safety profile of holmium laser enucleation of the prostate (HoLEP). Both objective and subjective outcomes of HoLEP are seen to be preserved in patients undergoing Moses laser enucleation of the prostate (MoLEP), with recent studies highlighting high rates of successful same-day catheter removal and same-day discharge in an increasingly wide range of patients.

Summary

Initial studies focusing on Moses laser technology for prostate enucleation are promising. Further high-quality randomized controlled trials evaluating MoLEP are required to clarify the clinical impact of this laser technology on prostate enucleation outcomes as well as comparing to alternative novel benign prostate hyperplasia (BPH) treatments.
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Metadata
Title
Moses Laser Enucleation of the Prostate (MoLEP): Use of Pulse Modulated Holmium Laser Technology for Prostate Enucleation
Authors
Mark A. Assmus
Amy E. Krambeck
Publication date
01-04-2023
Publisher
Springer US
Published in
Current Bladder Dysfunction Reports / Issue 2/2023
Print ISSN: 1931-7212
Electronic ISSN: 1931-7220
DOI
https://doi.org/10.1007/s11884-023-00698-3

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