Urologic Diseases, Prostate Obstruction
Conditions
Brief summary
The primary aim is to assess the impact of laser setting frequency and wattage during holmium laser enucleation of the prostate. There is currently no gold-standard laser settings for HoLEP procedures. In the investigator's current high-volume practice, the following settings for enucleation are: 2j 50hz. These settings are conventional settings, but there is no literature to prove optimal laser settings. The investigators hypothesizes that utilization of higher laser settings may be associated with a clinically significant (defined as \> 10%) decrease in procedural time without any detrimental postoperative outcomes, and a utilization of lower laser settings may be associated with a clinically significant (defined as \>10%) reduction in postoperative irritative voiding symptoms without any detrimental postoperative outcomes.
Interventions
PROCEDUREHoLEP
Patients will be randomized to one of the laser energy groups day of surgery.
Sponsors
Northwestern University
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
MALE
Age
18 Years to 89 Years
Healthy volunteers
No
Inclusion criteria
* Males 18-89 who are undergoing HoLEP for the treatment of bothersome lower urinary tract symptoms, that are typically caused by enlarged prostates
Exclusion criteria
* Prostates measurements over 200g * Patients who lack decisional capacity * Patients who are non-english speakers
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Identifying Outcomes of 40 hz, 50 hz and 60 hz laser setting groups during Holmium Laser Enucleation of the Prostate. | 2 years | Comparing operative outcomes between the 40 hz, 50 hz and 60 hz laser setting groups. |
Countries
United States
Contacts
Primary ContactAllaa Fadl-Alla, BS
Backup ContactAlyssa McDonald, MS
Outcome results
None listed