{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T11:39:14Z","timestamp":1773315554802,"version":"3.50.1"},"reference-count":4,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2020,12,1]],"date-time":"2020-12-01T00:00:00Z","timestamp":1606780800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Endourology Case Reports"],"published-print":{"date-parts":[[2020,12,1]]},"abstract":"\n Background:<\/jats:title>\n Although the prostatic urethral stents are no longer used in the United States for treatment of prostatomegaly, urologists will encounter patients with complications of previously placed permanent prostatic stents. We report two cases of persistent bothersome lower urinary tract symptoms (LUTS) after prostatic stent placement treated with simultaneous holmium laser enucleation of prostate (HoLEP) with endoscopic removal of the prostatic urethral stent using high-power holmium laser. We also reviewed the literature regarding the removal of prostatic stents with holmium laser combined with surgical management of benign prostatic hyperplasia.<\/jats:p>\n <\/jats:sec>\n \n Case Presentation:<\/jats:title>\n \n A 71-year-old man who presented with LUTS, recurrent gross hematuria, and urinary infection, which developed after placement of a prostatic stent 10 years prior for urinary retention secondary to prostatomegaly (80\u2009g). He underwent combined HoLEP with endoscopic removal of the prostatic stent using 100 W holmium laser at a power setting of 2\u2009J and 30\u2009Hz. The surgical steps comprised fragmentation of the stent\n in situ<\/jats:italic>\n by making incisions at 5, 7, and 12 o'clock positions followed by enucleation of the prostate. The stent was then separated from enucleated tissue in the urinary bladder. The remaining prostate adenoma was then morcellated and removed. The patient remained asymptomatic at 10-year follow-up. Another patient was 62-year-old man who developed recurrence of bothersome LUTS, 1 year after placement a prostatic stent for urinary retention. On investigation his prostate was 105\u2009g and stent showed partial migration in the bladder with overlying calcification. HoLEP and stent removal was performed in a manner similar to the first patient. This patient also remained asymptomatic at a 1-year follow-up.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Combined HoLEP with removal of a prostatic urethral stent using a high-power holmium laser is safe and effective with long-term durable outcome.<\/jats:p>\n <\/jats:sec>","DOI":"10.1089\/cren.2020.0158","type":"journal-article","created":{"date-parts":[[2020,11,2]],"date-time":"2020-11-02T14:00:37Z","timestamp":1604325637000},"page":"438-441","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Simultaneous Holmium Laser Enucleation of Prostate with Removal of the Permanent Prostatic Urethral Stent Using the High-Power Holmium Laser: Technique in Two Cases and Review of the Literature"],"prefix":"10.1177","volume":"6","author":[{"given":"Indraneel","family":"Banerjee","sequence":"first","affiliation":[{"name":"Department of Urology, Miller School of Medicine, University of Miami, Coral Gables, Florida, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas Anthony","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Urology, Miller School of Medicine, University of Miami, Coral Gables, Florida, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan E.","family":"Katz","sequence":"additional","affiliation":[{"name":"Department of Urology, Miller School of Medicine, University of Miami, Coral Gables, Florida, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aniruddha","family":"Gokhale","sequence":"additional","affiliation":[{"name":"S. L. Raheja (Fortis Associate Hospital) Mumbai, Mumbai, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rashmi","family":"Shah","sequence":"additional","affiliation":[{"name":"Urolap Superspeciality Clinic and S. L. Raheja (Fortis Associate Hospital) Mumbai, Mumbai, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hemendra Navinchandra","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Urology, Miller School of Medicine, University of Miami, Coral Gables, Florida, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,3,10]]},"reference":[{"key":"e_1_3_3_2_2","first-page":"1099","article-title":"EAU guidelines on the assessment of non-neurogenic male lower urinary tract symptoms including benign prostatic obstruction","volume":"67","author":"Gravas S","year":"2018","unstructured":"Gravas S, , Cornu JN, , Drake MJ, et al. EAU guidelines on the assessment of non-neurogenic male lower urinary tract symptoms including benign prostatic obstruction. Eur Urol, 2018; 67:1099\u20131109.","journal-title":"Eur Urol"},{"key":"e_1_3_3_3_2","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1016\/S0090-4295(00)00869-4","article-title":"Removal of a UroLume prostatic stent using the holmium laser","volume":"57","author":"Lallas CD","year":"2001","unstructured":"Lallas CD, , Munver R, , Preminger GM. Removal of a UroLume prostatic stent using the holmium laser. Urology, 2001; 57:166\u2013167.","journal-title":"Urology"},{"key":"e_1_3_3_4_2","doi-asserted-by":"crossref","first-page":"773","DOI":"10.1016\/S0022-5347(05)67801-9","article-title":"Removal of Urolume endoprosthesis: Experience of North American study group for Detrusor-Sphincter Dyssynergia Application","volume":"163","author":"Gajewski JB","year":"2000","unstructured":"Gajewski JB, , Chancellor MB, , Ackman CF, et al. Removal of Urolume endoprosthesis: Experience of North American study group for Detrusor-Sphincter Dyssynergia Application. J Urol, 2000; 163:773\u2013776.","journal-title":"J Urol"},{"key":"e_1_3_3_5_2","doi-asserted-by":"crossref","DOI":"10.1089\/vid.2013.0084","article-title":"Endoscopic removal of urolume urethral stent using high power holmium laser","volume":"27","author":"Dyer A","year":"2013","unstructured":"Dyer A, , Funk J, , Twiss C. Endoscopic removal of urolume urethral stent using high power holmium laser. Videourology. 2013; 27:DOI:10.1089\/vid.2013.0084.","journal-title":"Videourology"}],"container-title":["Journal of Endourology Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/cren.2020.0158","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/cren.2020.0158","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/cren.2020.0158","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T17:29:23Z","timestamp":1773250163000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/cren.2020.0158"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,1]]},"references-count":4,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020,12,1]]}},"alternative-id":["10.1089\/cren.2020.0158"],"URL":"https:\/\/doi.org\/10.1089\/cren.2020.0158","relation":{},"ISSN":["2379-9889","2379-9889"],"issn-type":[{"value":"2379-9889","type":"print"},{"value":"2379-9889","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,12,1]]}}}