A 26-Fr continuous flow resectoscope, a laser-fiber stabilizing bridge, 120 W Holmium laser (VersaPulse; Lumenis Inc., Israel), a 550-μm end-firing laser fiber (SlimLine; Lumenis Inc.), and a 26-Fr nephroscope were used in all patients. A Lumenis VersacutTM (VersaPulse; Lumenis Inc., USA) and Hawk (Hanghzhou Hawk Optical Inst. Co., China) morcellators were used to morcellate. All surgeries included in this study were performed via the ‘Omega Sign’ technique as described [16 ]. The procedures were performed by a single surgeon (LT) who has experience [18 ] over 700 HoLEP interventions.
Versapulse
Manufactured by Lumenis
Sourced in Israel, United States
The VersaPulse is a versatile laser system designed for various medical and aesthetic applications. It features multiple wavelengths and pulse durations to address a wide range of treatment needs. The core function of the VersaPulse is to provide controlled laser energy for treatments, but its specific intended use should not be interpreted or extrapolated.
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Lab products found in correlation
7 protocols using versapulse
1
Holmium Laser Enucleation of the Prostate (HoLEP)
2
Bipolar TURP vs. HoLEP for BPH
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B-TURP was performed using the standard bipolar technique with an Olympus resectoscope 26 Fr. HoLEP was performed using the standard technique described by Gilling et al. with a Holmium laser (Versa-Pulse by Lumenis) 100-W, 550 nm end-firing flexible quartz laser fiber, and a continuous flow resectoscope consisting of an external 26 Fr sheath and an internal rotating sheath [14 (link)].
The procedure was performed with a frequency of 35 Hz and 1.5 J of power, and saline solution was used for irrigation.
The lobes were removed by a VersaCut Morcellator morcellation system and the prostate fragments were sent for histopathological analysis.
After both procedures, continuous irrigation of the bladder was initiated until clear urine production was achieved.
The procedure was performed with a frequency of 35 Hz and 1.5 J of power, and saline solution was used for irrigation.
The lobes were removed by a VersaCut Morcellator morcellation system and the prostate fragments were sent for histopathological analysis.
After both procedures, continuous irrigation of the bladder was initiated until clear urine production was achieved.
3
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.
4
Holmium Laser Enucleation of the Prostate
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The equipment for HoLEP comprised a 100-W holmium laser (VersaPulse, Lumenis©), a 550-μm end-firing fiber (Slimline 550, Lumenis©), a modified continuous-flow resectoscope (25F), a tissue morcellator (Piranha, Richard Wolf©), continuous saline irrigation, and a video system. Power settings were adjusted to 1.9 J at 53 Hz.
All procedures were performed by experienced surgeons (TM, PG), or under close supervision (SM), using a 2- or 3-lobe technique under general anesthesia. Technical details have been described previously [14 (link), 15 (link)]. Following enucleation, the prostate-tissue was recovered from the bladder using a morcellator and obtained for histological analysis. Coagulation was achieved by defocusing the laser fiber. We performed bipolar coagulation of the entire prostatic fossa and established continuous bladder irrigation. According to our standard protocol, bladder irrigation was gradually reduced on postoperative (po) day 1; catheter-removal took place on po day 2, with a subsequent assessment of Qmax and PVR. Patients were discharged on po day 3 without specific medication. Follow-up was performed 2 months after surgery including PSA, PVR and uroflowmetry.
All procedures were performed by experienced surgeons (TM, PG), or under close supervision (SM), using a 2- or 3-lobe technique under general anesthesia. Technical details have been described previously [14 (link), 15 (link)]. Following enucleation, the prostate-tissue was recovered from the bladder using a morcellator and obtained for histological analysis. Coagulation was achieved by defocusing the laser fiber. We performed bipolar coagulation of the entire prostatic fossa and established continuous bladder irrigation. According to our standard protocol, bladder irrigation was gradually reduced on postoperative (po) day 1; catheter-removal took place on po day 2, with a subsequent assessment of Qmax and PVR. Patients were discharged on po day 3 without specific medication. Follow-up was performed 2 months after surgery including PSA, PVR and uroflowmetry.
5
Holmium Laser Enucleation of Prostate
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A 100 W holmium:yttrium-aluminium-garnet (YAG) laser (Versapulse, Lumenis Inc., Santa Clara, CA, USA) with a 550-μm end-firing flexible fibre (SlimLine™ 550, Lumenis Inc.) was used. A continuous flow 26-F resectoscope (Karl Storz, Tuebingen, Germany) was used for all procedures.
The enucleation phase of HoLEP was performed as previously described [9] . After prostate enucleation, adenoma retrieval was routinely performed using a tissue morcellator [2] ; however, in the absence of morcellator cutting blades or morcellator device malfunction, non-morcellation approaches were used. Moreover, if there was concomitant urological pathology this might also be an indication to change our surgical plan regarding the tissue retrieval approach.
Retrieval of the prostate adenoma was performed as follows:
The enucleation phase of HoLEP was performed as previously described [9] . After prostate enucleation, adenoma retrieval was routinely performed using a tissue morcellator [2] ; however, in the absence of morcellator cutting blades or morcellator device malfunction, non-morcellation approaches were used. Moreover, if there was concomitant urological pathology this might also be an indication to change our surgical plan regarding the tissue retrieval approach.
Retrieval of the prostate adenoma was performed as follows:
6
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).
7
Holmium Laser Enucleation of the Prostate
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After preoperative antibiotic prophylaxis (cefazolin 2 g i.v.), spinal or general anesthesia is induced and then the patient is placed in a lithotomy position. The enucleation technique is performed in all patients according to Gilling technique using Holmium YAG laser (Versa-Pulse by Lumenis) 100-W and 550 nm end-firing flexible quartz laser fiber. 11 With a 26 Fr Iglesias resectoscope with continuous flow (Karl Storz; Tuttlingen, Germany), urethrocystoscopy and identification of the ureteral hosts are carried out. The procedure begins with 2 longitudinal incisions (at 5 and 7 o'clock) that start from the bladder neck to the lateral margins of the veru-montanum and reach the prostate capsule to enucleate the middle lobe and then the lateral ones. The apical ends are joined together through a transverse incision above the veru-montanum. Enucleation of the lateral lobes involves an anterior commissurotomy. The anterior commissurotomy is reunited with the posterior ones. After identifying the cleavage plan between adenoma and prostate
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