Publications by authors named "Hemendra Navinchandra Shah"

Background: Although holmium laser enucleation (HoLEP) is considered a size-independent procedure for treatment of an enlarged prostate, prostate artery embolization (PAE) is emerging as an alternative modality to treat moderate and large benign prostatic hyperplasia. This study aims to compare the early post-operative and short-term efficacy of PAE and HoLEP.

Methods: PubMed, Cochrane Library and EMBASE databases were searched.

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Article Synopsis
  • The study aimed to compare the coagulation necrosis depth (CND) of three types of lasers (Holmium, Moses, and Thulium fiber) on human prostate tissue using different energy settings.
  • Researchers conducted the experiment on tissue samples taken after laser surgery, measuring the CND using microscopy and comparing results across the different lasers and settings.
  • Findings indicated no significant differences in CND between the lasers, suggesting that other factors may influence the clinical outcomes of prostate enucleation beyond just the type and settings of the lasers used.
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Although the prostatic urethral stents are no longer used in the United States for treatment of prostatomegaly, urologists will encounter patients with complications of previously placed permanent prostatic stents. We report two cases of persistent bothersome lower urinary tract symptoms (LUTS) after prostatic stent placement treated with simultaneous holmium laser enucleation of prostate (HoLEP) with endoscopic removal of the prostatic urethral stent using high-power holmium laser. We also reviewed the literature regarding the removal of prostatic stents with holmium laser combined with surgical management of benign prostatic hyperplasia.

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Published literature on damages to a digital flexible ureteroscope (DFU) examines a limited number of ureteroscopes and shows wide variation in its durability. The aim of this study was to compare the primary damage location, causes of DFU damages, and the durability of Karl Storz Flex-Xc digital ureteroscope between University Hospital (UH) and Ambulatory Care Surgery Center (ASC). We also evaluated the available literature on the durability of DFU.

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Objectives: Recently there has been an increasing interest in the application of retrograde intrarenal surgery (RIRS) for managing renal calculi. In this review we discuss its application for the management of lower calyceal (LC) stones less than 10 mm in maximum dimension.

Materials And Methods: Literature was reviewed to summarize the technical development in flexible ureterorenoscopy and its accessories.

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Background: Splenic injury is an uncommon complication of percutaneous nephrolithotomy (PCNL).

Patients And Methods: We report herewith two cases of splenic injury that occurred during puncture of the 10th intercostal-space for PCNL.

Results And Conclusions: One of these patients presented with hypotension on day 5 after discharge from the hospital.

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Background: Neglected renal stones remain a major cause of morbidity in developing countries. They not only result in functional impairment of affected kidney, but also act as an important predisposing factor for development of urothelial neoplasms. It is not uncommon to miss an associated urothelial tumor in a patient of nephrolithiasis preoperatively.

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