Thulium laser enucleation of the prostate (ThuLEP) and holmium laser enucleation of the prostate (HoLEP) are two endoscopic enucleation of the prostate techniques. ... The main difference is that holmium has a pulsed energy, while thulium emits a continuous laser wave.
- What is a thulium laser?
- How is thulium used in lasers?
- What is a holmium laser used for?
- How does a holmium laser work?
- Is thulium poisonous?
- Is thulium man made?
- How much does thulium cost?
- What are the side effects of HoLEP surgery?
- What is the best surgery for enlarged prostate?
- How much does HoLEP surgery cost?
What is a thulium laser?
Thulium laser transurethral vaporesection of the prostate (ThuVARP) is a laser procedure that vapourises and resects the prostate using a technique similar to TURP.
How is thulium used in lasers?
The thulium (Tm) laser has a wavelength of 2013 nm and a penetration depth of 0.25 mm, using water as the absorbing chromophore [48]. Unlike holmium, energy is released in a visible continuous wave [48]. ... Similar to holmium, the thulium laser can be used for vaporization, resection, or enucleation.
What is a holmium laser used for?
Holmium laser prostate surgery is a minimally invasive treatment for an enlarged prostate. Also called holmium laser enucleation of the prostate (HoLEP), the procedure uses a laser to remove tissue that is blocking urine flow through the prostate.
How does a holmium laser work?
A flexible laser fiber is inserted through a scope (camera) placed in the urinary tract via the urethra to break up the stones. The stone fragments are then removed with a small basket or other instruments. The procedure is done without any incisions (cuts).
Is thulium poisonous?
Thulium dust and powder are toxic upon inhalation or ingestion and can cause explosions.
Is thulium man made?
Thulium is a lanthanide element, it has a bright silvery-gray luster and can be cut by a knife. ... Naturally occurring thulium is made entirely of the stable isotope Tm-169.
How much does thulium cost?
Name | Thulium |
---|---|
Normal Phase | Solid |
Family | Rare Earth Metals |
Period | 6 |
Cost | $40 to $50 per gram |
What are the side effects of HoLEP surgery?
The most common side effects include:
- Temporary burning and bleeding during urination. ...
- Urinary incontinence (inability to control urine flow) is expected in all patients immediately after surgery and they should wear pads for the first few days/weeks.
What is the best surgery for enlarged prostate?
TURP is generally considered an option for men who have moderate to severe urinary problems that haven't responded to medication. While TURP has been considered the most effective treatment for an enlarged prostate, a number of other, minimally invasive procedures are becoming more effective.
How much does HoLEP surgery cost?
Fraundorfer, et al found that HoLEP and TURP had equivalent clinical outcomes at one year, but HoLEP cost 24.5% less than TURP (35). When comparing HoLEP to OP, Salonia, et al found that average costs were $2,919 vs. $3,556, respectively [21].