Switching Lasers: Assessing the learning curves of surgeons with di7erent surgical experience when switching from HoLEP to pulsed Thulium YAG lasers for ThuLEP - Scorecard - MDSpire
Advertisement
Switching Lasers: Assessing the learning curves of surgeons with di7erent surgical experience when switching from HoLEP to pulsed Thulium YAG lasers for ThuLEP
Clinical Scorecard: Evaluating the Learning Curves of Surgeons Transitioning from HoLEP to Pulsed Thulium YAG Lasers for ThuLEP Based on Surgical Experience
Pulsed Thulium laser enucleation of the prostate (ThuLEP) as a surgical treatment using a pulsed solid-state Thulium:YAG laser system
Target Population
Male patients with LUTS due to benign prostatic obstruction (BPO) from BPE
Care Setting
Surgical treatment in urology departments with structured training programs for surgeons
Key Highlights
Surgeons with prior HoLEP experience achieve proficiency in ThuLEP approximately twice as fast as less experienced surgeons.
Postoperative functional outcomes are comparable across surgeons regardless of prior HoLEP experience.
Structured training programs enable safe and feasible adoption of ThuLEP by surgeons without prior HoLEP experience.
Guideline-Based Recommendations
Diagnosis
Indications for ThuLEP are based on current EAU guidelines for management of non-neurogenic male LUTS.
Management
Use of pulsed ThuLEP with a three-lobe enucleation technique consistently applied.
Structured stepwise training programs for surgeons new to HoLEP or ThuLEP to ensure safe adoption.
Monitoring & Follow-up
Assessment of perioperative characteristics, functional results, and safety outcomes during learning curve progression.
Risks
High costs and steep learning curves may limit widespread adoption of laser enucleation techniques.
Training under supervision is essential to mitigate risks during the learning phase.
Patient & Prescribing Data
Male patients with LUTS due to BPO undergoing surgical treatment with ThuLEP.
ThuLEP is effective and safe with comparable functional outcomes to HoLEP and TUR-P; laser energy use and enucleation efficiency improve with surgeon experience.
Clinical Best Practices
Implement structured, stepwise training programs with supervised procedures for surgeons inexperienced in HoLEP before independent ThuLEP performance.
Leverage prior HoLEP experience to accelerate proficiency when transitioning to pulsed ThuLEP systems.
Consistently apply the three-lobe enucleation technique for standardized surgical outcomes.
by Stadelmeier, Leo Federico, Berger, Laurenz , Nicola, Philip , Weinhold, Philipp , Marcon, Julian , Atzler, Michael , Volz, Yannic , Pyrgidis, Nikolaos , Papadopoulos, Iason , Hennenberg, Martin , Stief, Christian Georg, Keller, Patrick M., Tamalunas, Alexander
Board-certified urologist Yvonne K. P. Koch, M.D., has joined Baptist Health Urology. She specializes in general urology and male and female voiding dysfunction.
