Surgeon-urologist Veveloyannis Panagiotis

Pulse shaping ( pulse modulation ) with a new generator holmium Laser from Moses 2 which was also presented in Greece, is one of the most important discoveries of the decade in the field of laser technology for the treatment of patients with benign prostatic hyperplasia and kidney stones.

The effectiveness, superiority, and safety of the Moses 2 pulsed laser system has been reported in the journals of the American and European Urological Associations, as confirmed by international multicenter studies, and is now a new gold rule according to the recommendations for the treatment of prostatic hypertrophy and nephrolithiasis.

Now widely known laser enucleation of the prostate. HoLEPregardless of the size of the gland, which for three years has been the operation of choice in our country and the crown of all minimally invasive methods of prostate treatment, as well as abroad, is now brought to a new level of convenience and safety for the patient, renamed into MOLEP using a new two-pulse laser system.

In the field of medicine, the pace of development is higher than in other technologies, and therefore breakthrough products often appear that turn an already very good existing technique always in the best interest of the patient. The revolutionary nature of “pulse shaping” is that the first controlled pulse separates the water, creating a sealed pocket through which the second beam sequence passes, which is delivered to the target with optimal accuracy and safety, avoiding refractions. and energy absorption by water, which occurs with conventional single-pulse holmium lasers.

This achieves 20% faster operative time, 40% more effective hemostasis with zero blood loss, so that 90% of prostate patients are discharged on the same day and the catheter is removed on the same day. Hospital costs are significantly lower due to fewer hospitalizations, and the patient’s postoperative course is short, smooth and without complications, which have occurred to a minor extent in the past.

The studies that flow from all over the Western world as a whole converge on the fact of the now undeniable superiority of MOLEP enucleation of the prostate in centers that have, on the one hand, the most modern logistical equipment, and, on the other hand, the high specialization and training of their doctors in relation to the absolutely specific technique that must be followed in order to meet the above advantages. , i.e. enucleation is carried out en block (i.e., a whole piece), determine the correct plan and completely haemostatically remove the adenoma, and finally apply a special strategy to protect the urinary retention sphincter with its timely release. Otherwise, HoLEP enucleation of the prostate is performed in accordance with the guidelines of the American Urological Association. one Prostate size-independent therapeutic technique for benign hyperplasia.

The new face of urology is expanding into the field of kidney stones by undergoing laser endoscopic lithotripsy. RIRS to a new level of speed and efficiency with the impulse system. The smallest diameter chamber that ascends retrograde up the ureter can now visit even the most inaccessible parts of the renal opercula due to the greater flexibility of the Moses fiber laser.

So with direct visual contact, stones regardless of size and hardness they are sublimated, switching from solid to gaseous state with a beam frequency of 120 Hz in one session, which is 20% faster, 33% improved fragmentation ability and 50% less backlash of the stone during the process (due to the anti-regression property of Moses), as well as simultaneous aspiration any emerging microparticles. The absence of stones is precisely the reason that makes the method absolutely safe, since it avoids injury to the ureters during their descent.

According to the latest developments in the field of laser endoscopic urology, with these minimally invasive techniques, the final elimination of two of the most common diseases affecting the world is achieved in a painless, bloodless, brief and safe way. It is always optimistic that our country is a leader in the field of medicine and that Greek patients are provided with high quality services.