Versacut

Manufactured by Lumenis

Sourced in United States

The Versacut is a compact, versatile laser system designed for a variety of surgical procedures. It features an adjustable power output and can be used with a range of specialized handpieces and accessories.

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Lab products found in correlation

Slimline, by Lumenis (3 mentions) 120w versapulse holmium laser machine, by Lumenis (2 mentions) Accumax 550 laser fiber, by Boston Scientific (2 mentions) Versapulse, by Lumenis (2 mentions) Slimline 550, by Lumenis (1 mentions) Versapulse power suite, by Lumenis (1 mentions) Surgmaster ues 40 bipolar generator, by Olympus (1 mentions) 26f continuous flow resectoscope, by Storz (1 mentions)

10 protocols using versacut

Holmium-YAG Laser Prostatectomy Technique

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A 100-W holmium-YAG laser (Lumenis, Yokneam, Israel) equipped with a 550-μm
end-firing fiber at a maximum energy of 1.6 J and frequency of 50 Hz was used. A
26-Fr continuous-flow laser resectoscope (Olympus, Tokyo, Japan) with a 30° down
lens and a mechanical tissue morcellator (VersaCut; Lumenis) were also used.
These devices and settings were used for all procedures performed in this study.
A 20-Fr three-way Foley catheter using normal saline for continuous bladder
irrigation was inserted at the end of the surgery. Generally, the flow of the
irrigation fluid was tapered overnight and terminated the morning of
postoperative day 1. The catheter was removed on postoperative day 2 after
confirming cessation of hematuria. All patients received both prophylactic
antibiotic treatment using cefazolin 30 minutes before the operation and
postoperative antibiotic treatment using cefazolin until discharge.

Lin C.H., Wu W.J., Li C.C., Ke H.L., Jhan J.H, & Wen S.C. (2021). Comparison of different en bloc holmium laser enucleation of the prostate techniques to reduce the rate of postoperative transient urinary incontinence. The Journal of International Medical Research, 49(8), 03000605211037488.

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Holmium Laser Enucleation of Prostate

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All procedures were performed by a single surgeon, and enucleation was conducted according to operator’s preference with either the three-lobes or the ^en-bloc with early apical release technique, as described in previous investigations (Figure-2) (9 (link), 10 (link)).
All procedures were carried out under general anesthesia using the 120W Versapulse holmium laser machine (Lumenis, Yokneam, Israel) with a 550-µm end laser fiber (Boston Scientific, AccuMax 550 Laser Fiber). Laser energy was set at 2 J X 45 Hz, 90 W, for enucleation and 2 J X 30 Hz, 60 W, for coagulation. A 26F Storz continuous flow resectoscope sheath was modified by inserting the 26F inner sheath, and a laser bridge to stabilize the fiber. A 30° down lens was preferred. The enucleated prostatic adenoma was then morcellated using a morcellator (Lumenis, Versacut). After surgery, a 22F three-way catheter was inserted and bladder irrigation was performed using saline solution. We usually removed urethral catheter on 3rd postoperative day, in case of clear urine output.

Maida F.D., Cadenar A., Grosso A.A., Lambertini L., Giudici S., Paganelli D., Salamone V., Mari A., Salvi M., Minervini A, & Tuccio A. (2023). Predictors of early catheter replacement after HoLEP. Results from a high-volume laser center. International Brazilian Journal of Urology : Official Journal of the Brazilian Society of Urology, 49(5), 608-618.

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Holmium Laser Enucleation of the Prostate

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All prostatic adenomas were enucleated by the 2- or 3-lobe technique. The tools used for the HoLEP procedure included a 26-Fr continuous flow laser resectoscope, a laser-fiber stabilizing bridge, a 100-w holmium laser (VersaPulse; Lumenis Ltd., Yokneam, Israel), and a 550-µm end-firing laser fibers (SlimLine; Lumenis Ltd.). A 26-Fr nephroscope and a tissue morcellator (Versacut; Lumenis Ltd.) were used to remove enucleated tissue. The enucleated tissues were immediately weighed and examined histologically. After surgery, a 3-way 22-Fr Foley catheter was inserted with continuous bladder irrigation and removed 1 to 2 days after surgery.

Park S., Kwon T., Park S, & Moon K.H. (2017). Efficacy of Holmium Laser Enucleation of the Prostate in Patients with a Small Prostate (≤30 mL). The World Journal of Men's Health, 35(3), 163-169.

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Holmium Laser Enucleation of Prostate (HoLEP)

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We used an 80–120-W holmium laser (VersaPulse Select, Lumenis Pulse 120H with Moses; Lumenis Ltd., Yokneam, Israel), 550-µm end-firing laser fibers (SlimLine; Lumenis Ltd.), and a 26-Fr continuous flow laser resectoscope for enucleation. A 26-Fr nephroscope and a tissue morcellator (Versacut; Lumenis Ltd.) were used for morcellation. We used transurethral resection in saline for coagulation. All BPH cases were enucleated by using the two- or three-lobe technique. A three-way 22-Fr Foley catheter was inserted with continuous bladder irrigation and removed 2 to 3 days after surgery unless there were no complications such as urethral injury or urinary tract infection.
Evaluation after HoLEP was conducted during follow-up visits at 1, 3, 6, and 12 months in almost all patients. At each visit, we performed IPSS and IPSS-QoL evaluations, uroflowmetry, and transabdominal ultrasonography to determine the PVR. If the patient did not visit our institution at the scheduled follow-ups, we used the latest data obtained within 1 year after surgery.

Tsuboi I., Maruyama Y., Sadahira T., Ando N., Nishiyama Y., Araki M., Kurashige T., Ichikawa T., Arata R., Ono N., Watanabe T., Hayata S., Shiina H, & Nasu Y. (2021). Efficacy of holmium laser enucleation in patients with a small (less than 30 mL) prostate volume. Investigative and Clinical Urology, 62(3), 298-304.

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Holmium Laser Enucleation of Prostate

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Enucleation was performed with the three-lobes or en-bloc with early apical release technique, as described in previous investigations (18 (link), 19 (link)). All procedures were carried out under general anesthesia using the 120W Versapulse holmium laser machine (Lumenis, Yokneam, Israel) with a 550-µm end laser fiber (Boston Scientific, AccuMax 550 Laser Fiber). Laser energy was set at 2 J X 45 Hz, 90 W, for enucleation and 2 J X 30 Hz, 60 W, for coagulation. A 26F Storz continuous-flow resectoscope sheath was modified by inserting the 26F inner sheath, and a laser bridge was used to stabilize the fiber. A 30° down lens was preferred. The enucleated prostatic adenoma was then morcellated using a morcellator (Lumenis, Versacut). After surgery, a 22F three-way catheter was inserted and bladder irrigation was performed using saline solution. We usually removed urethral catheter on 3rd postoperative day, in case of clear urine output. All surgical procedures were performed by a single expert surgeon.

Maida F.D., Grosso A.A., Tellini R., Nardoni S., Giudici S., Cadenar A., Salamone V., Lambertini L., Salvi M., Minervini A, & Tuccio A. (2023). Holmium laser enucleation of the prostate (HoLEP) is safe and effective in patients with high comorbidity burden. International Brazilian Journal of Urology : Official Journal of the Brazilian Society of Urology, 49(3), 341-350.

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Holmium Laser Enucleation of the Prostate

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HoLEP operations were performed randomly by 4 surgeons at our institution. General or spinal anesthesia was administered in each case. All procedures were carried out using a 26F resectoscope (System-pro Laser Resectoscope, Olympus, Tokyo, Japan), a 100-W holmium: YAG laser (VersaPulse PowerSuite, Lumenis, Yokneam, Israel), and a 550-μm fiber (SlimLine 550, Lumenis, Yokneam, Israel). Our HoLEP technique was based on the anteroposterior dissection reported by Endo et al. [13 (link)]. Morcellation was performed using a tissue morcellator (VersaCut, Lumenis, Yokneam, Israel). After the procedure, a 22F Foley catheter was placed. The Foley catheter was removed on postoperative day 2. Continence was defined as complete dryness and no pad usage in the present study. Postoperative urinary incontinence included SUI, mixed urinary incontinence, and postvoid dribbling. Urinary incontinence was evaluated in a medical interview. All patients were asked about the presence of urinary incontinence at every medical examination after HoLEP. Follow-up was performed at 1, 3, 6, and 12 months postoperatively.

Oka S., Kobayashi K., Matsuda K, & Takai K. (2020). Significance of Membranous Urethral Length for Recovery From Postoperative Urinary Incontinence Following Holmium Laser Enucleation of the Prostate. International Neurourology Journal, 24(4), 358-364.

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Holmium Laser Enucleation and Bipolar Plasma Vaporization of Prostate

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HoLEP and BPVP were done by two experienced urologists, respectively. Two experienced urologists performed more than 100 HoLEP and BPVP before this study, respectively. We consider that two experienced urologists overcame the learning curve of these surgical technique. HoLEP was performed using a 120 W Holmium:YAG laser (VersaPulse PowerSuite, Lumenis Surgical, San Jose, CA, USA) with a 550-nm end-firing fiber (SlimLine, Lumenis). A 26-Fr continuous-flow resectoscope with saline irrigation was used. The laser settings were 2.5 J and 40 Hz. After enucleation of the adenoma and control of bleeding, enucleated adenomas were removed from the bladder using a mechanical tissue morcellator (Versa-Cut, Lumenis) with an indirect nephroscope. [8 (link)] The BPVP technique required the Olympus SurgMaster UES-40 bipolar generator (Olympus, Tokyo, Japan) under continuous flow saline irrigation with a standard button- or mushroom-type vapo-resection electrode. During BPVP, the button-type electrode presenting a plasma corona on its surface was moved forward and backward in close contact with the prostatic tissue, which was vaporized layer-by-layer until reaching the surgical prostate capsule. The BPVP output was controlled flexibly to achieve a bloodless operation field for proper tissue vaporization and simultaneous hemostasis.

Kim K.S., Lee S.H., Cho H.J., Suh H.J., Lee D.H, & Choi Y.S. (2019). Comparison of Bipolar Plasma Vaporization versus Standard Holmium Laser Enucleation of the Prostate: Surgical Procedures and Clinical Outcomes for Small Prostate Volumes. Journal of Clinical Medicine, 8(7), 1007.

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Holmium Laser Enucleation of Prostate

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A two-pedal (120–60 W) Holmium: YAG Laser (VersaPulse; Lumenis Ltd., Yokneam, Israel) was used as the energy source, as well as a 550-µm end-firing laser fiber (SlimLine TM 550, Lumenis Inc.). A 26 Fr continuous flow resectoscope with a laser bridge (Karl Storz Endoscopy, CA, USA) thirty degrees camera was also used. Enucleated floating prostate tissues were removed by a morcellator (VersaCut, Lumenis, Santa Clara, CA, USA) introduced through a nephroscope (Karl Storz Endoscopy).

Porreca A., Schiavina R., Romagnoli D., Corsi P., Salvaggio A., D’Agostino D., Ferro M., Busetto G.M., Falabella R, & Crestani A. (2021). T-L technique for HoLEP: perioperative outcomes of a large single-centre series. Central European Journal of Urology, 74(3), 366-371.

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Holmium Laser Enucleation of the Prostate

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A 26F continuous flow resectoscope (Karl Storz Endoscopy, Culver City, CA) with a laser bridge housing a 7F stabilizing catheter (Cook Urologic, Spencer, IN) was used to enucleate the prostate. High-powered HoLEP was performed, and holmium laser instruments were used (2.0 J, 30–50 Hz, 60–100 W, reusable 550-nm laser fibers: Lumenis, Inc, Palo Alto, CA, USA). In essence, the median and the lateral prostatic lobes were dissected off the surgical capsule in a retrograde fashion from the apex toward the bladder. The lobes were enucleated in their entirety, pushed into the bladder, and fragmented with the use of a mechanical tissue morcellator (Versacut; Lumenis, Inc, Palo Alto, CA, USA). During HoLEP and mechanical tissue morcellation, 0.9% of normal saline was used as irrigation solution. Histological examination was performed on all retrieved and collected tissue. Postoperative bladder irrigation was applied as necessary, and a voiding trial was given on postoperative day 1. Majority of subjects were discharged without a catheter in place.

Kim B.H, & Byun H.J. (2022). Robotic-assisted simple prostatectomy versus holmium laser enucleation of the prostate for large benign prostatic hyperplasia: A single-center preliminary study in Korea. Prostate International, 10(3), 123-128.

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Holmium Laser Enucleation of the Prostate

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All procedures were performed by a single experienced surgeon (Tokatli Z.) who had carried out more than 300 HoLEP procedures for various sized prostates .HoLEP was performed with our previously described technique (low tension total retrograde HoLEP technique), as two or three lobes technique depending on prostate morphology (with/without huge median lob). 11 A 26-Fr continuous-flow laser resectoscope (Karl-Storz, Germany) in combination with a mechanical tissue morcellator (Versacut; Lumenis Inc) was used for both groups. In group 1, HoLEP procedures were performed by using 50W holmium laser device (Auriga® XL, Boston Scientific, Ratingen, Germany) at 39.6W (2.2 Joule, 18 Hz). In group 2, a 100W Holmium laser (Versapulse, Lumenis Inc., Santa Clara, CA, USA) was used at 42-W (1.2J and 35Hz), comparable with the 50W device.

Tokatli Z., Ferhat M., Ibis M.A., Turkmen Sariyildiz G., Elhan A, & Sarica K. (2021). Does the power of the laser devices matter for a successful HoLEP procedure? A prospective comparative study. International journal of clinical practice, 75(10).

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