Application 1149 - Holmium Laser Enucleation of the Prostate (HOLEP) Combined with Tissue Morcellation
Application No. | 1149 |
| Application Name | Holmium Laser Enucleation of the Prostate (HOLEP) Combined with Tissue Morcellation |
| Description Of Intervention | Holmium Laser Enucleation of the Prostate is a method of completely removing the enlarged prostate gland, via the urethra, rather than by an operation that accesses the prostate via an external incision (an open prostatectomy), or by cutting, or shaving the tissue away via the urethra. Using a cystoscope inserted via the tip of the penis and positioned in the urethra at the level of the enlarged prostate, the surgeon uses a laser fiber that emits its focussed light through the end of a very thin tube to cut through the enlarged prostate tissue. The properties of this form of laser light allow it to both ‘cut’ tissue and also ‘coagulate’ or seal bleeding vessels that are disrupted during the removal of the tissue. |
| Description Of Disease | Benign Hyperplasia of the Prostate (BPH) describes the non-cancerous proliferation of tissue that causes a general enlargement of the prostate. It is a common condition with symptoms of varying degrees experienced in approximately 50% of men over the age of 50 years. The likelihood of this condition increases with age. The prostate is a gland found in males, responsible for the production of the fluid portion of seminal fluid, located at the base of the bladder. The enlargement of the prostate causes a variety of lower urinary tract symptoms that result from the compression of the urethra by the expanding prostate tissue. Untreated BPH may result in damage to the normal function of the bladder and the kidneys. While BPH is not a fatal disease, it significantly impacts on the quality of life of many middle-aged and elderly men. |
| Disease Group | Cancer |
| Disease sub Group | Prostate |
| Intervention Category | Therapeutic |
| Intervention Type |  |
| Intervention Sub Type | |
| Received | 3 August 2010 |
| Stage 2 - Eligibility | 11 August 2010 |
| Stage 3 - 1st PASC | 17 February 2011 |
| Stage 3 - Public Comment | Date of released for comment 24 February 2011 Application 1149 - Holmium Laser Enucleation of the Prostate (HOLEP) Combined with Tissue Morcellation (PDF 46 KB) Date of closed for comments 31 March 2011 |
| Stage 3 - 2nd PASC | PASC 13-14 April Final DAP Application1149-Holmium Laser Enucleation of the Prostate (HOLEP) Combined with Tissue Morcellation (PDF 522 KB) |
| Stage 4 - Submission of Evidence | Contracted Assessment |
| Stage 5 - ESC evaluation | estimated June 2012 |
| Stage 6 - MSAC Appraisal | estimated August 2012 |
| Stage 6 - MSAC advice | |
Stage 7 - Noting by Minister
| |
| Stage 8 - Implementation | |
Page currency, Latest update: 16 August, 2010
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