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Surgical Treatment for Benign Prostatic Hyperplasia: Holmium Laser Enucleation of the Prostate HoLEP.
Published on: March 6, 2018
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The Moses holmium system - time is money
1Cleveland Clinic Foundation, Cleveland, Ohio, USA.
The Canadian Journal of Urology
|June 15, 2018
Summary
The Moses holmium laser system for kidney stones may reduce procedure time but does not offer cost savings. Its higher initial cost outweighs potential time efficiencies in laser lithotripsy.
Area of Science:
- Urology
- Medical Technology
Background:
- Holmium laser lithotripsy is a common treatment for kidney stones.
- The Moses technology aims to improve ureteral retropulsion and reduce procedural time.
Purpose of the Study:
- To evaluate the cost-effectiveness of the Moses holmium laser technology compared to standard systems.
- To determine if reduced lasing time translates to patient cost savings.
Main Methods:
- Retrospective analysis of 40 patients undergoing ureteroscopy with laser lithotripsy.
- Calculation of total lasing time from total laser energy.
- Cost analysis comparing Moses technology to standard Holmium TracTip system.
Main Results:
- A positive association was found between stone size and lasing time (p=0.01).
- The Moses system increased costs by $292.36 for all stone sizes and $253.16 for stones >10 mm.
- No significant correlation between stone composition or Hounsfield units and lasing time.
Conclusions:
- The Moses holmium laser system's reduced lasing time does not offset its higher cost.
- Current cost-effectiveness does not support the Moses technology for routine kidney stone treatment.
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