Resection of urethral caruncles with holmium laser vs. conventional excision: a comparative study of minimally invasive outcomes.

IF 1.9 3区医学 Q3 UROLOGY & NEPHROLOGY

BMC Urology Pub Date : 2025-07-07 DOI:10.1186/s12894-025-01852-1

Shuxia Zhu, Ting Zeng, Qiang Liu

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Abstract

Purpose: The purpose of this study was to compare the efficacy and safety of holmium laser resection versus conventional surgical excision for the treatment of urethral caruncle. The study aimed to evaluate the potential advantages of holmium laser, such as its precision and minimal invasiveness, over traditional surgical methods.

Methods: A retrospective cohort study included 116 patients (50 laser vs. 66 conventional) from June 2020 to August 2023. Outcomes included operative time, complications, and recurrence.

Results: The laser cohort demonstrated statistically significant reductions in operation duration (6.4 ± 1.2 vs. 28 ± 4.3 min, p < 0.001), catheterization time (2.1 ± 0.8 vs. 6.3 ± 1.5 days, p < 0.001), and length of hospitalization (3.2 ± 0.8 vs. 4.3 ± 1.1 days, p < 0.001) compared to the conventional surgical group. The holmium laser group had lower postoperative bleeding rates (0% vs. 6.0%, p = 0.08). One recurrence occurred in the conventional surgical group. No patient in either group developed urethral stricture during the follow-up period.

Conclusion: Holmium laser resection is a safe and efficient alternative for urethral caruncle, associated with reduced operative time and morbidity.

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钬激光与常规手术切除尿道痈：微创效果的比较研究。

目的：本研究的目的是比较钬激光切除与常规手术切除治疗尿道痈的疗效和安全性。该研究旨在评估钬激光相对于传统手术方法的潜在优势，如精度和微创性。方法：2020年6月至2023年8月，回顾性队列研究纳入116例患者（50例激光对66例常规）。结果包括手术时间、并发症和复发率。结果：激光组手术时间明显缩短（6.4±1.2分钟vs 28±4.3分钟）。结论：钬激光切除术是一种安全有效的治疗尿道痈的替代方法，手术时间和发病率均降低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BMC Urology UROLOGY & NEPHROLOGY-

CiteScore

3.20

自引率

0.00%

发文量

177

审稿时长

>12 weeks

期刊介绍： BMC Urology is an open access journal publishing original peer-reviewed research articles in all aspects of the prevention, diagnosis and management of urological disorders, as well as related molecular genetics, pathophysiology, and epidemiology. The journal considers manuscripts in the following broad subject-specific sections of urology: Endourology and technology Epidemiology and health outcomes Pediatric urology Pre-clinical and basic research Reconstructive urology Sexual function and fertility Urological imaging Urological oncology Voiding dysfunction Case reports.