Morcellation and Potential HoLEP Complications with Dr. Amy E. Krambeck, MD скачать в хорошем качестве

Morcellation and Potential HoLEP Complications with Dr. Amy E. Krambeck, MD

Amy E. Krambeck, MD, discusses HoLEP morcellation and its associated complications, emphasizing procedural refinements and patient safety. In this 21-minute presentation, Dr. Krambeck details the morcellation process, highlighting the need for meticulous hemostasis and sufficient fluid inflow to prevent bladder injuries. Dr. Krambeck shares techniques for managing resistant prostatic nodules, including strategic laser incisions and switching blades to facilitate tissue removal. She dispels concerns about cancer detection, citing studies that confirm HoLEP preserves tissue integrity comparable to TURP for histopathological analysis. Complications are categorized into intraoperative, immediate postoperative, and long-term concerns, addressing capsular perforation, bladder injury, and fluid absorption. Dr. Krambeck presents data showing that transient urinary incontinence occurs in about 30% of cases postoperatively, but long-term rates remain low. She addresses erectile function preservation, noting that while retrograde ejaculation is expected, erectile function itself remains unchanged. Dr. Krambeck highlights HoLEP’s utility in complex cases, affirming its safety, efficiency, and durability as a leading surgical option for BPH management. Don't forget to join the GRU Community: https://grandroundsinurology.com/regi... Follow us on Twitter/X: https://x.com/GRUrology And like and subscribe to us here on YouTube!