Does MOSES pulse modulation reduce short-term catheter reinsertion following holmium laser enucleation of the prostate?

Purpose: Previously published studies have shown small prostate size, capsular perforation and intraoperative bladder distension are associated with failed trial without a catheter (TWOC) after HoLEP. The study objective was to determine the relationship between MOSES pulse modulation versus standar...

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Autores principales:	Dane E. Klett, Bryce Baird, Colleen T. Ball, Chandler D. Dora
Formato:	article
Lenguaje:	EN
Publicado:	Korean Urological Association 2021
Materias:	cystoscopy holmium lasers prostatic hyperplasia urinary catheterization Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/ca21bb88ff144b46b02a0b7151859130
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spelling	oai:doaj.org-article:ca21bb88ff144b46b02a0b71518591302021-11-10T04:49:57ZDoes MOSES pulse modulation reduce short-term catheter reinsertion following holmium laser enucleation of the prostate?10.4111/icu.202101822466-04932466-054Xhttps://doaj.org/article/ca21bb88ff144b46b02a0b71518591302021-11-01T00:00:00Zhttps://icurology.org/pdf/10.4111/icu.20210182https://doaj.org/toc/2466-0493https://doaj.org/toc/2466-054XPurpose: Previously published studies have shown small prostate size, capsular perforation and intraoperative bladder distension are associated with failed trial without a catheter (TWOC) after HoLEP. The study objective was to determine the relationship between MOSES pulse modulation versus standard laser technology and short-term catheter reinsertion following failed TWOC. Materials and Methods: The study included 487 patients who underwent HoLEP, using standard holmium laser settings (180 patients) or MOSES pulse modulation (255 patients), between August 2018 and February 2021. Catheter reinsertion defined as reinsertion following failed TWOC within 30 days of surgery. Association of pulse modulation with catheter reinsertion was examined using single and multivariable logistic regression models. Comparisons of pre and intraoperative characteristics between patients treated without and with pulse modulation were made using a Wilcoxon rank sum test for numeric characteristics or Fisher’s exact test for categorical characteristics. Results: Short-term catheter reinsertion occurred in 14% (26/180) of the standard laser setting group as compared with 10% (24/252) of the pulse modulation group. There was no statistically significant association with short-term catheter reinsertion in single (unadjusted OR [standard settings vs. pulse modulation], 1.60; 95% CI, 0.80–2.91; p=0.12) or multivariable analysis adjusting for specimen weight and operative time (adjusted OR [standard settings vs. pulse modulation], 1.44; 95% CI, 0.77–2.68; p=0.25). Conclusions: In this study, we found no association between post-HoLEP short-term catheter reinsertion following failed TWOC and MOSES pulse modulation. Although MOSES pulse modulation offers several well-documented advantages, catheter reinsertion events appear to be attributable to other factors.Dane E. Klett Bryce BairdColleen T. BallChandler D. DoraKorean Urological Associationarticlecystoscopyholmiumlasersprostatic hyperplasiaurinary catheterizationDiseases of the genitourinary system. UrologyRC870-923ENInvestigative and Clinical Urology, Vol 62, Iss 6, Pp 666-671 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	cystoscopy holmium lasers prostatic hyperplasia urinary catheterization Diseases of the genitourinary system. Urology RC870-923
spellingShingle	cystoscopy holmium lasers prostatic hyperplasia urinary catheterization Diseases of the genitourinary system. Urology RC870-923 Dane E. Klett Bryce Baird Colleen T. Ball Chandler D. Dora Does MOSES pulse modulation reduce short-term catheter reinsertion following holmium laser enucleation of the prostate?
description	Purpose: Previously published studies have shown small prostate size, capsular perforation and intraoperative bladder distension are associated with failed trial without a catheter (TWOC) after HoLEP. The study objective was to determine the relationship between MOSES pulse modulation versus standard laser technology and short-term catheter reinsertion following failed TWOC. Materials and Methods: The study included 487 patients who underwent HoLEP, using standard holmium laser settings (180 patients) or MOSES pulse modulation (255 patients), between August 2018 and February 2021. Catheter reinsertion defined as reinsertion following failed TWOC within 30 days of surgery. Association of pulse modulation with catheter reinsertion was examined using single and multivariable logistic regression models. Comparisons of pre and intraoperative characteristics between patients treated without and with pulse modulation were made using a Wilcoxon rank sum test for numeric characteristics or Fisher’s exact test for categorical characteristics. Results: Short-term catheter reinsertion occurred in 14% (26/180) of the standard laser setting group as compared with 10% (24/252) of the pulse modulation group. There was no statistically significant association with short-term catheter reinsertion in single (unadjusted OR [standard settings vs. pulse modulation], 1.60; 95% CI, 0.80–2.91; p=0.12) or multivariable analysis adjusting for specimen weight and operative time (adjusted OR [standard settings vs. pulse modulation], 1.44; 95% CI, 0.77–2.68; p=0.25). Conclusions: In this study, we found no association between post-HoLEP short-term catheter reinsertion following failed TWOC and MOSES pulse modulation. Although MOSES pulse modulation offers several well-documented advantages, catheter reinsertion events appear to be attributable to other factors.
format	article
author	Dane E. Klett Bryce Baird Colleen T. Ball Chandler D. Dora
author_facet	Dane E. Klett Bryce Baird Colleen T. Ball Chandler D. Dora
author_sort	Dane E. Klett
title	Does MOSES pulse modulation reduce short-term catheter reinsertion following holmium laser enucleation of the prostate?
title_short	Does MOSES pulse modulation reduce short-term catheter reinsertion following holmium laser enucleation of the prostate?
title_full	Does MOSES pulse modulation reduce short-term catheter reinsertion following holmium laser enucleation of the prostate?
title_fullStr	Does MOSES pulse modulation reduce short-term catheter reinsertion following holmium laser enucleation of the prostate?
title_full_unstemmed	Does MOSES pulse modulation reduce short-term catheter reinsertion following holmium laser enucleation of the prostate?
title_sort	does moses pulse modulation reduce short-term catheter reinsertion following holmium laser enucleation of the prostate?
publisher	Korean Urological Association
publishDate	2021
url	https://doaj.org/article/ca21bb88ff144b46b02a0b7151859130
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Does MOSES pulse modulation reduce short-term catheter reinsertion following holmium laser enucleation of the prostate?

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