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Concurrent placement of SpaceOAR gel and gold fiducials during HoLEP: a case report

Ganesh, Meera B.
Kaplunov, Briana S.
Lee, Matthew S.
Assmus, Mark A.
Ross, Ashley E.
Coleman, Joy
Krambeck, Amy E.
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2022-01-19
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http://dx.doi.org/10.1177/17562872211072637
Abstract
Herein, we describe a case of a patient diagnosed with prostate cancer (PCa) who presented with lower urinary tract symptoms (LUTS) and elevated Prostate Specific Antigen (PSA). He underwent Holmium Laser Enucleation of the Prostate (HoLEP) for his severe LUTS with concurrent placement of SpaceOAR gel and gold fiducials in preparation for radiation therapy (RT). After a successful operation, the patient underwent same-day discharge and catheter removal. He regained continence at 2 weeks and started RT at 9 weeks post-HoLEP. We present that concurrent placement of fiducials and SpaceOAR during HoLEP appears to be feasible, well tolerated and effective for PCa patients who elect RT.
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Ganesh MB, Kaplunov BS, Lee MS, et al. Concurrent placement of SpaceOAR gel and gold fiducials during HoLEP: a case report. Therapeutic Advances in Urology. 2022;14. doi:10.1177/17562872211072637
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SAGE Publications
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Therapeutic Advances in Urology, Vol. 14
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