HOLMIUM LASER PROSTATE ENUCLEATION (HOLEP) VERSUS TRANS-URETHRAL RESECTION OF PROSTATE (TURP) IN TREATMENT OF SYMPTOMATIC PROSTATIC ENLARGEMENT; A HEALTH TECHNOLOGY ASSESSMENT

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HAJEBRAHIMI SAKINEH; MAHBOUB AHARI ALIREZA; SADEGHI GHYASSI FATEMEH; MOSTAFAIE ALI; YOUSEFI MAHMOUD

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Journal Paper

Paper Information

Journal: JOURNAL OF LASERS IN MEDICAL SCIENCES Year:2011 | Volume:2 | Issue:1 Page(s): 36-42

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Title

HOLMIUM LASER PROSTATE ENUCLEATION (HOLEP) VERSUS TRANS-URETHRAL RESECTION OF PROSTATE (TURP) IN TREATMENT OF SYMPTOMATIC PROSTATIC ENLARGEMENT; A HEALTH TECHNOLOGY ASSESSMENT

Author(s)

Keywords

LASERS

SOLID-STATE

PROSTATE

HOLMIUM LASER

THERAPY

SYMPTOMATIC PROSTATIC ENLARGEMENT

ASSESSMENT

BIOMEDICAL TECHNOLOGY

Abstract

Introduction: Our aim was to compare the cost effectiveness of HOLMIUM LASER PROSTATE enucleation (HOLEP) versus trans-urethral resection of PROSTATE.Materials and Methods: We searched all available databases for any controlled trials comparing HOLEP and TURP from January 2000 to February 2009. Two independent reviewers studied and appraised the selected evidences. Then, effectiveness and cost effectiveness of HOLEP was evaluated.Results: We identified four randomized controlled trials and one systematic review according to the inclusion criteria. Most of the studies had moderate quality of evidence with limited sample sizes. Overall success rate of HOLEP was comparable with TURP; but, some secondary outcomes such as pick flow rate twelve months after the surgery was better in HOLEP. A comparison between the original costs and those obtained from sensitivity analysis showed that the cost parameters were sensitive to the number of the patients treated. Increasing the number of the patients from 200 to 300 changed the study’s results in favor of the new techniques.Conclusion: Since the holmium and thulium laser sets are sensitive to the number of the patients and multipurpose, they potentially can be applied for stone fragmentation.Thus, utilization of these equipments will divide the costs between two groups of the services. In economic terms, these properties lower overhead costs and justify the purchasing of these equipments.

Cites

Experience of 138 Transurethral Urethrotomy With Holmium: YAG Laser

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APA: Copy

HAJEBRAHIMI, SAKINEH, MAHBOUB AHARI, ALIREZA, SADEGHI GHYASSI, FATEMEH, MOSTAFAIE, ALI, & YOUSEFI, MAHMOUD. (2011). HOLMIUM LASER PROSTATE ENUCLEATION (HOLEP) VERSUS TRANS-URETHRAL RESECTION OF PROSTATE (TURP) IN TREATMENT OF SYMPTOMATIC PROSTATIC ENLARGEMENT; A HEALTH TECHNOLOGY ASSESSMENT. JOURNAL OF LASERS IN MEDICAL SCIENCES, 2(1), 36-42. SID. https://sid.ir/paper/325772/en

Vancouver: Copy

HAJEBRAHIMI SAKINEH, MAHBOUB AHARI ALIREZA, SADEGHI GHYASSI FATEMEH, MOSTAFAIE ALI, YOUSEFI MAHMOUD. HOLMIUM LASER PROSTATE ENUCLEATION (HOLEP) VERSUS TRANS-URETHRAL RESECTION OF PROSTATE (TURP) IN TREATMENT OF SYMPTOMATIC PROSTATIC ENLARGEMENT; A HEALTH TECHNOLOGY ASSESSMENT. JOURNAL OF LASERS IN MEDICAL SCIENCES[Internet]. 2011;2(1):36-42. Available from: https://sid.ir/paper/325772/en

IEEE: Copy

SAKINEH HAJEBRAHIMI, ALIREZA MAHBOUB AHARI, FATEMEH SADEGHI GHYASSI, ALI MOSTAFAIE, and MAHMOUD YOUSEFI, “HOLMIUM LASER PROSTATE ENUCLEATION (HOLEP) VERSUS TRANS-URETHRAL RESECTION OF PROSTATE (TURP) IN TREATMENT OF SYMPTOMATIC PROSTATIC ENLARGEMENT; A HEALTH TECHNOLOGY ASSESSMENT,” JOURNAL OF LASERS IN MEDICAL SCIENCES, vol. 2, no. 1, pp. 36–42, 2011, [Online]. Available: https://sid.ir/paper/325772/en

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