Lumenis: Surgical
 
Physician Comments
Physician Comments

Dr Steven Previte, Clinical Associate Professor, Boston University School of Medicine—"When the algorithm dictates surgical treatment, I use HoLAP. I've been in practice 27 years and performed more than 1,000 TURPs . . . But I haven't performed one TURP since I started doing the HoLAP procedure.

Dr Surendra Kumar, Staff Urologist, Oakwood Annapolis Hospital—"The green light laser in my experience in over 100 PVP and HoLAP cases does not come close to providing the level of success I've had with the holmium laser. I've been so satisfied with holmium I use it exclusively.

With larger glands over 50 grams, there is an increasing likelihood of residual necrotic tissue after PVP, which causes irritative voiding symptoms post operatively. There is no clinically significant bleeding during or after HoLAP."

Dr Glen Preminger, Professor of Urologic Surgery, Duke University Medical Center—"We learned that our 80W laser could be used for HoLAP. That's when we began performing the HoLAP procedure and we've continued with it for the past 4 years."

Dr Peter Gilling, Consultant Urologist, Tauranga, New Zealand—"HoLEP represents a paradigm shift in the surgical management of BPH and is endorsed by all the leading urological organizations world-wide. We have used this technique exclusively with over 2,000 patients since it evolved in the late 1990's. Once learned, HoLEP replaces both TURP and open prostatectomy, providing superior outcomes in prostates of all sizes!"

Dr. James Lingeman, Clinical Professor of Urology at Indiana University School of Medicine and Director of Research, Methodist Hospital Institute for Kidney Disease, Indianapolis, IN—"We use both HoLAP and HoLEP procedures at Methodist. HoLAP has been an effective and simple to perform procedure. Patients are released within 24 hours with symptoms relieved and are back to normal activities soon afterward. HoLEP has provided distinct advantages over both TURP and open prostatectomy. HoLEP patients have very low rates of post op complications, even after the treatment of very large glands. HoLEP patients are also treated as outpatients and quickly return to normal activities.

In our practice, the holmium laser has supplanted TURP for the treatment of BPH. Because the high power holmium laser is used to treat both stones and BPH, two of the most common conditions urologists treat, it is an essential tool in my OR."

Dr. Richard David, Associate Clinical Professor at UCLA School of Medicine—"HoLAP is a quick, safe and effective outpatient resolution of bladder obstruction with excellent outcomes and minimal or no patient complications. In addition to experiencing immediate symptom relief, the patients' quality of life improves dramatically, a fact that has lead to overwhelming patient acceptance of the ablation procedure."

Dr. Akhil Das, attending urologist, Northeastern Regional Hospital, Las Vegas, NM—"There has been a resurgence in laser ablation of the prostate to treat bladder outlet obstruction secondary to BPH. The question is, which laser to use? The ideal laser should be easy and safe, and useful for a variety of urologic diseases. The holmium laser has been shown to be safe and effective for the treatment of urinary stones, urinary strictures, urothelial tumors and BPH, and is the ideal choice."

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