{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T15:30:40Z","timestamp":1787671840107,"version":"build-2736575974"},"reference-count":17,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T00:00:00Z","timestamp":1773187200000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Urology"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Holmium laser enucleation of the prostate (HoLEP) has emerged as a gold standard for the surgical treatment of benign prostatic hyperplasia (BPH). Modern pulse\u2010modulated laser systems aim to improve enucleation efficiency and procedural safety, but no head\u2010to\u2010head comparison has been reported between MOSES 2.0 and QUANTA 150. This study provides a direct comparative analysis of perioperative efficiency and safety between these two technologies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a retrospective analysis of HoLEP procedures performed by a single surgeon between July 2023 and June 2024. Patients were grouped by laser platform (MOSES or QUANTA). The primary outcome was total operative time. Secondary outcomes included enucleation and morcellation parameters, perioperative characteristics, and 30\u2010day outcomes. Multivariable regression models adjusted for age, Charlson comorbidity index, anticoagulant use, and prostate volume were used to control for confounding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 196 patients were included (132 MOSES, 64 QUANTA). The MOSES cohort had higher comorbidity and anticoagulant use (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). After adjustment, QUANTA was associated with significantly shorter total operative, enucleation, laser, and energy times. Morcellation speed was faster with QUANTA (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.034), while absolute morcellation time was comparable (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.08). Enucleation speed was also higher (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.017), and energy efficiency was similar. Site\u2010related workflow differences may have contributed to nonoperative time variation. Postoperative outcomes\u2014including LOS, catheter duration, hematuria, retention, and 30\u2010day events\u2014were similar.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Both laser systems demonstrated excellent safety. QUANTA 150 was associated with greater procedural efficiency in this single\u2010surgeon, dual\u2010site experience, underscoring the need for further prospective evaluation across practice settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/iju.70408","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T10:47:48Z","timestamp":1773226068000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Comparative Analysis of Modern Pulse Modulation With\n                    <scp>MOSES<\/scp>\n                    2.0 and\n                    <scp>QUANTA<\/scp>\n                    150 Holmium Laser Systems in Laser Enucleation of the Prostate"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4507-6696","authenticated-orcid":false,"given":"Carl A.","family":"Ceraolo","sequence":"first","affiliation":[{"name":"Department of Urology University of Rochester Medical Center  Rochester New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5093-7713","authenticated-orcid":false,"given":"Raviraj","family":"Rege","sequence":"additional","affiliation":[{"name":"Department of Urology University of Rochester Medical Center  Rochester New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8695-9834","authenticated-orcid":false,"given":"Yadong","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Urology University of Rochester Medical Center  Rochester New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3146-1961","authenticated-orcid":false,"given":"Laena T.","family":"Hines","sequence":"additional","affiliation":[{"name":"Department of Urology University of Rochester Medical Center  Rochester New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-6542-7721","authenticated-orcid":false,"given":"Soumya","family":"Konar","sequence":"additional","affiliation":[{"name":"Department of Urology University of Rochester Medical Center  Rochester New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0453-5574","authenticated-orcid":false,"given":"Rajat K.","family":"Jain","sequence":"additional","affiliation":[{"name":"Department of Urology University of Rochester Medical Center  Rochester New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2546-5264","authenticated-orcid":false,"given":"Scott O.","family":"Quarrier","sequence":"additional","affiliation":[{"name":"Department of Urology University of Rochester Medical Center  Rochester New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,11]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.15229"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2008.10.025"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1756287212437361"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000003698"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2020.0347"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l5919"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aju.2015.10.001"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2020.1218"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.1998.12.457"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2019.11.029"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOU.0000000000000244"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2020.0996"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000001693"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.15265"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2023.0317"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/0021\u20109681(87)90171\u20108"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/rapm\u20102024\u2010105766"}],"container-title":["International 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