Publications by authors named "Amr Hodhod"
Introduction: Holmium laser enucleation of the prostate (HoLEP) is known to have a steep learning curve. The top-down technique was introduced to lessen the number of procedures required to master HoLEP. We aimed to present the experiences of two successive clinical fellows with the top-down HoLEP learning curve and compare their performance with the supervisor.
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- This study compares the safety and effectiveness of flexible ureteroscopy (f-URS) and ambulatory tubeless mini-percutaneous nephrolithotomy (mini-PCNL) for treating 1-2 cm lower calyceal renal stones in a randomized controlled trial involving 72 patients.
- Results show that mini-PCNL had a longer operative time but significantly higher stone-free rates (SFR) at both postoperative Day 1 and three months later compared to f-URS.
- Both procedures had similar postoperative complications, but two patients in the f-URS group required re-treatment, highlighting the need to assess the best surgical approach for specific cases.
Article Synopsis
- The study aimed to compare the effectiveness of enhanced MOSES 2.0 technology against the older MOSES 1.0 technology in performing holmium laser enucleation of the prostate (HoLEP) for benign prostatic hyperplasia (BPH).
- A total of 196 patients were examined, with no significant differences in preoperative characteristics; however, the MOSES 2.0 group showed shorter enucleation and hemostasis times and used less laser energy.
- The findings suggest that HoLEP with MOSES 2.0 is a safe and effective treatment for BPH, with improved efficiency but similar postoperative outcomes compared to MOSES 1.0.
Article Synopsis
- - The study focused on how the infundibular pelvic angle (IPA) of the kidney's lower pole affects the clearance of stone fragments after retrograde intrarenal surgery (RIRS) for lower pole kidney stones.
- - Researchers analyzed data from 123 patients who underwent flexible ureteroscopy (f-URS), revealing that a smaller IPA (less than 30°) was significantly associated with a higher likelihood of residual stones after the procedure.
- - The findings suggest that both the IPA and stone size are important factors in determining treatment outcomes, with RIRS proving to be an effective option for managing lower pole kidney stones overall.
Article Synopsis
- - Our study focused on the effectiveness of holmium laser enucleation of the prostate (HoLEP) for treating different types of urinary retention (both acute and chronic) and compared outcomes between patients with and without preoperative urinary retention.
- - We analyzed data from 368 male patients who underwent HoLEP, categorizing them into groups based on the type of urinary retention they had, and evaluated multiple factors such as bladder function and quality of life over 12 months post-surgery.
- - Results showed that while both groups improved, those with acute urinary retention had better catheter-free rates at 12 months compared to those with chronic retention, indicating that HoLEP may be particularly beneficial for acute cases.
Article Synopsis
- * A total of 95 patients were analyzed, with most (90.5%) undergoing the totally tubeless approach; the median operative time was 64 minutes, and patients were discharged within six hours post-surgery.
- * The stone-free rates were 73.7% on the first day post-op and increased to 92.6% after three months, making mini-PCNL a promising option with minimal complications and low rates of emergency visits or readmissions.*
Introduction: Pyeloplasty is the definitive management of ureteropelvic junction obstruction (UPJO). One of the challenging questions is when to perform pyeloplasty. We studied if improvement post-pyeloplasty in the first 3 months of life could show greater improvement in hydronephrosis than surgery at an older age.
View Article and Find Full Text PDFIntroduction: The objective of our study was to evaluate the efficacy and durability of GreenLight laser prostatectomy for the management of acute urinary retention (AUR) and chronic urinary retention (CUR) and to determine outcomes compared to patients without preoperative urinary retention (UR).
Methods: We conducted a retrospective study of prospectively collected data from individuals who underwent GreenLight laser prostatectomy at our institution from May 2018 to July 2022. Patient demographics and outcome measures were recorded, including indications for the procedure, median urinary volume drained, or median postvoid residual urine volume (PVR) before catheterization or GreenLight laser prostatectomy.
Article Synopsis
- The study investigated how age affects the health outcomes and complications in patients treated with GreenLight laser prostatectomy for benign prostatic hyperplasia (BPH).
- Data was collected from 168 male patients, split into non-octogenarian and octogenarian groups, with findings showing that octogenarians had higher ASA scores indicating more health risks, yet surgery results were comparable between age groups.
- The results suggest that GreenLight laser prostatectomy is a safe and effective option for treating BPH in both older and younger patients, providing similar functional outcomes and quality of life improvements.
Introduction: We sought to evaluate the reliability and validity of a new, illustrated questionnaire, the bladder bowel dysfunction symptom score (BBDSS) in the assessment of overactive bladder (OAB) and bladder bowel dysfunction (BBD).
Methods: The BBDSS questionnaire consisted of 12 structured questions. This pilot study was designed with two principal groups of questions: one group to assess bladder symptoms and the other to assess bowel dysfunction during the preceding month.
Article Synopsis
- A randomized controlled trial was conducted to compare the outcomes of traditional and top-down holmium laser enucleation of the prostate (HoLEP) techniques for patients with benign prostatic hyperplasia (BPH) and prostate sizes of 80 cc or more.
- One hundred patients participated, with both techniques showing similar preoperative characteristics, operative times, and postoperative outcomes, including urinary incontinence rates and quality of life scores.
- The study concluded that both HoLEP techniques significantly enhance urinary function in patients, demonstrating comparable results regardless of which method is used.
The study's primary objective was to compare the laser efficiency and clinical outcomes of two widely used systems, the holmium MOSES laser and the thulium fiber laser (TFL), in managing kidney stones. The secondary outcomes were to evaluate the impact of stone composition on laser efficacy. We conducted a retrospective review of patients who underwent flexible ureteroscopy (f-URS) for solitary renal calculi between December 2020 and August 2022 at our institution and had a 3-month postoperative CT scan.
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- A study was conducted to assess the safety and effectiveness of two prostate vaporization methods (Holmium Laser Xpeeda vs. GreenLight XPS) in men with benign prostatic hyperplasia (BPH) and prostate sizes of 80g or less.
- Both methods yielded similar outcomes, such as symptom relief and recovery times, with most patients able to void successfully on the same day.
- The Holmium Laser Xpeeda showed lower laser energy use and fewer postoperative complications compared to GreenLight XPS, with no significant differences in sexual or functional outcomes at 12 months.
Introduction: Mercaptoacetyltriglycine (MAG-3) renogram is one of the gold standard diagnostic tools of ureteropelvic junction obstruction (UPJO); however, there is no widely agreed indications of pyeloplasty based on MAG-3 findings. In this study, we introduce a renogram scoring system that can help improve the prognostic value of MAG-3 renogram and in the decision making of pyeloplasty.
Patients And Methods: We retrospectively reviewed consecutive pyeloplasties for antenatal hydronephrosis from 2010 to 2020.
Article Synopsis
- Refractory hematuria due to prostate issues often requires emergency intervention if conservative treatment fails, leading to the study of holmium laser enucleation of the prostate (HoLEP) as a potential solution.
- A review of 40 emergency HoLEP patients showed high effectiveness, with most experiencing quick recovery, including catheter removal within a day and discharge within 24 hours.
- Follow-up results at one year indicated significant improvements in urinary symptoms and quality of life, suggesting HoLEP is a viable emergency treatment for this condition, but more research is needed.
Article Synopsis
- The study analyzed patients who underwent top-down HoLEP (Holmium Laser Enucleation of the Prostate) for recurrent benign prostatic hyperplasia (BPH), comparing outcomes between those with prior surgeries (group I) and without (group II).
- A total of 269 patients were included, with no significant differences in the preoperative characteristics or operative outcomes between the two groups.
- Postoperative follow-up showed significant improvements in urinary function for both groups over 12 months, and the procedure was deemed safe, indicating prior prostate surgery does not negatively impact outcomes with HoLEP.
Article Synopsis
- This study compared the perioperative and postoperative outcomes of two prostate surgery methods: standard HoLEP and MOSES HoLEP (MoLEP), focusing on same-day catheter removal.
- A total of 90 patients were analyzed, revealing that while MoLEP had a faster enucleation and recovery times, the success rate for same-day trial of void (TOV) and readmission rates were similar for both methods.
- Factors influencing shorter enucleation times included the type of surgery (MoLEP), lower prostate-specific antigen levels, and smaller prostate sizes, with previous retention history affecting TOV success.
Introduction: The anteroposterior diameter (APD) of the renal pelvis is a commonly used ultrasound parameter in the evaluation and management of hydronephrosis. It has been established that an APD value associated with pyeloplasty is around 25 mm. Some believe the APD should be measured at the innermost part of the renal pelvis while others suggest that it should be done at the renal contour.
View Article and Find Full Text PDFIntroduction: Novel laser technologies have been developed for the minimally invasive surgical management of benign prostatic hyperplasia (BPH). The objective of this study was to assess the safety and efficacy of MOSESTM technology versus the thulium fiber laser (TFL) in patients with BPH undergoing transurethral enucleation of the prostate.
Methods: We conducted a retrospective review of prospectively collected data of eighty-two patients who underwent transurethral enucleation of the prostate using MOSESTM or TFL technologies from August 2020 to September 2021.
Objective: To determine the safety and efficacy of same-day urethral catheter removal after laser vaporization of the prostate and to identify factors contributing to a successful trial of void (TOV).
Methods: We conducted a retrospective analysis of 98 patients who underwent laser vaporization of the prostate using GreenLight or Holmium Xpeeda laser fibers from April 2018 to March 2021. All patients included in the study were offered a same-day TOV and had their catheters removed 3 hours postoperatively.
Introduction And Objective: The value of diuretic renography drainage times in congenital hydronephrosis (AHN) decision making is controversial. Recently, a group suggested a modification to the classically described diuretic drainage time cut-off values. They found that a drainage half-time (T) < 5 min was normal whereas a T exceeding 75 min predicted pyeloplasty.
View Article and Find Full Text PDFObjectives: To present the 12-month outcomes of 'Top-Down' holmium laser enucleation of the prostate (HoLEP).
Patients And Methods: We retrospectively reviewed the charts of prospectively collected patients who underwent Top-Down HoLEP between 2017 and 2018. All cases were operated upon by a single urologist (H.
Objective: To evaluate the efficacy of ambulatory mini percutaneous nephrolithotomy (Mini-PCNL) and flexible ureteroscope (F-URS) in treating 10-20 mm lower calyceal stones using propensity score matching analysis (PSM).
Patients And Methods: A retrospective analysis of 136 adult patients that underwent Mini-PCNL or F-URS for a single lower calyx calculus. Participants that underwent F-URS were allocated to Group I, while those who underwent Mini-PCNL were assigned to Group II.
Objectives: To evaluate the safety and efficacy of combined top and down low power thulium laser enucleation of the prostate (ThuLEP).
Patients And Methods: Between May 2017 and May 2019, after institutional board review approval, successfully consented patients underwent combined top and down low power ThuLEP. We used a 30 -W Thulium laser with a 550 μm laser fiber and a 26 Fr continuous flow resectoscope.