Recently completed at our center, the 2nd International Training Circle in Milep technique for urologists. This comes as a consequence of our team’s multi -year experience in the Laser Surgical Prostate Technique
The condition
Men in the course of their lives perceive changes in urination. This is due to the development adenoma within the prostate gland. They are overwhelmingly more cases for benign tissue but without any functional contribution. All he does is prevent free flow of urine by expressing the familiar to middle -aged male symptoms such as Difficulty in urine flow, frequency, nocturia and urgent need of urination, incontinence and even inability to urinate. Starting with simple discomfort, they evolve into a major problem seeking the medical solution.
This otherwise benign condition is responsible for a significant percentage of interventions in men over 55 associated with calculating medical, family, professional and financial costs.
The evolution
Historically, the surgical community progressed did not cease to investigate less and less traumatic treatment of this benign condition. This progress led to Total ADenoma Fragmination via Holmium Laser (HOLEP)
In the last decade he claims his position golden rule in the treatment of benign prostatic hyperplasia.
The reasons are:
- Bloodless process. Patients receiving “anticoagulant” treatment for serious reasons that, if interrupted, puts their lives at risk can be operated on! In the past, this group had to be informed of long -term hospitalization and prepared for the risk of bleeding by ensuring blood to transfers.
- Definitive solution. Complete and not partial as the widespread diuretic removal of adenoma offers. There is no residual tissue to grow in the future. So the old directive/advice that the surgeons received would be okay for 7 to 10 years is no longer the case. After HOLEP the man is not reunited with the problem of urination!
- Heals all patients. The restrictions imposed on other methods from the size of the gland do not apply to HOLEP. This treats the giant 300cc glands as well as the much smaller.
- Short hospitalization An overnight stay in the clinic
- Rapid health recovery In a week the man has returned to his normal activities.
HOLEP in Greek reality has experienced slow but steady spread and acceptance.
Since 2018 our team has had the opportunity to use more and more powerful machines by constantly increasing the effectiveness of large patrons and safety due to better haemostasis and reduction of surgical time. The order of our patients exceeds 2000 in number, with excellent results and quality of life.
Nikos Bafaloukas Director of the Urological Clinic Laser Surgery Prostate & Nephrithiasis IASO, https://www.ourologia.eu
European recognition
Taking into account these, the German House Jenasurgical GmbH trusted our team in utilizing Multipulse Hoplus 150 Watts Laser System International Milep demonstration and training center. Mr Bafalouka’s team has the combination of the greatest experience with the strongest 150 Watts system with the longest 1700ms Laser pulse length with the fastest and safer Morcellator. We thus have unlimited power in our hands that we can apply to the patient with ideal accuracy and therefore desired safety.
Claiming Milep Leading
The global spread of HoLEP inspired the German house of specialized endoscopic tools RZ Medizintechnik GmbH to evolve the mini Laser scope. Simply put we have a significantly reduced (30%) diameter endoscope condenses sharpness and purity of image characteristically significantly larger tools. Given that the surgery is performed through the male urethra the size of the endoscopic tool introduced into it is important. The thinner the ‘friendlier’ with the sensitive urethra so we have:
- Avoiding urethra wound so rapid recovery with thinner and therefore not unpleasant urinary catheter.
- Greater accuracy within the surgical field. We can direct the powerful 150 watts laser in a flexible and accurate way by ensuring an ideal separation of normal and pathological tissue. We finally achieve shorter intervention time.
Treating a frequent and widespread problem of the man is entering a new era. The HOLEP prostate laser can do so as it is not limited by the massive power equipment of the older diuretic resection known Turp/Turis. The light because of its nature enters fine tools into the target by revolutionizing the renowned holep in a new version.
Its new version is so radically different from the old one that it automatically acquires an internationally new name: Milep.
After completing clinical trials proving the advantages over HOLEP, it has already been adopted as the intervention of an election to treat benign prostatic hyperplasia worldwide.
ASo, with the evolution of HOLEP to Milep we have:
- Thicker therefore ‘friendlier’ with sensitive urethra endoscope
- Avoiding urethral wound with rapid recovery.
- Accuracy within the surgical field
And now the frequent and widespread problem of man enters the season Milep!