Evidence map›Paper›PMID 42682048›Full record

Observational studyThe Canadian journal of urology2026

Prostatic morcellation after HoLEP Enucleation: efficiency and safety of Storz DrillCut vs. Jena Surgical Multicut Solo.

Lucas Bergadá, Jonatan Reyes Olivera, Federico Ignacio Tirapegui, Christian Cristallo, Diego Santillán, Guillermo Montelli Yanzi, Melissa Segura, José Ramos, Ignacio Tobia, Mariano Sebastián González

Abstract readComparative StudyObservational Study
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In one paragraph

Observational study in The Canadian journal of urology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Lucas BergadáDepartment of Urology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Jonatan Reyes OliveraDepartment of Urology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Federico Ignacio TirapeguiDepartment of Urology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Christian CristalloDepartment of Urology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Diego SantillánDepartment of Urology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Guillermo Montelli YanziDepartment of Urology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Melissa SeguraDepartment of Urology, Centro Médico oncológico costarricense y de imágenes médicas Dr. Chavarria Estrada, San José, Costa Rica.
José RamosDepartment of Urology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Ignacio TobiaDepartment of Urology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Mariano Sebastián GonzálezDepartment of Urology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundsHolmium laser enucleation of the prostate (HoLEP) is a widely accepted technique for treating benign prostatic hyperplasia (BPH). Developed in the 1990s, its safety and efficiency have improved with adenoma morcellation. Multiple morcellation devices exist, with oscillatory systems offering higher efficiency and safety. Notable among these are the DrillCut Storz™ (DC) and the Multicut SOLO Jena Surgical™ (MC). Currently, evidence on the efficiency of MC is limited, and no comparative analysis exists between oscillatory morcellators. The objective of this study is to compare the morcellation efficiency (g/min) of the DC and the MC. A secondary objective was to assess intraoperative injury rates associated with both morcellators.

methodsProspective, observational, non-randomised cohort that included patients over 40 years old with a surgical indication for BPH, recruited from the Urology Department at Hospital Italiano de Buenos Aires (October 2023-June 2024). Dependent variables analyzed were morcellation efficiency and complications whereas independent variables were age, surgical time, PSA, prostate volume, PSA density, prior medication, urinary catheter use, and prostate cancer findings.

resultsA total of 264 patients were included (mean age: 70.1 years). The DC group had 98 patients whilst the MC group had 165 patients. Average morcellation time was 7.3 min (DC) and 9.1 min (MC) (p = 0.110). Mean adenoma weight morcellated was 49.9 g (DC) vs. 69.4 g (MC) (p < 0.001). Efficiency (g/min) was 10.5 (MC) vs. 8.3 (DC) (p < 0.001). Average surgical time was 84.4 min (DC) vs. 82 min (MC) (p = 0.541). Four intraoperative complications occurred in the DC group (4.1% vs. 0%; p = 0.005). All were minor bladder lacerations without postoperative management changes.

conclusionsThe MC demonstrated superior efficiency and a lower rate of complications. However, incidence of complications was low in both groups, supporting the safety of both devices.

Indexed as

Lasers, Solid-StateMorcellationProstatectomyProstatic HyperplasiaAgedHumansIntraoperative ComplicationsMaleMiddle AgedProspective StudiescomplicationsefficiencyHoLEPmorcellationsafety

Identifiers

PMID42682048

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.