Modern surgery for benign prostatic hyperplasia increasingly focuses on endoscopic minimally invasive techniques. However, the quality of the intervention is determined not only by the enucleation stage but also by the final phase – morcellation. This aspect is highlighted in the video from the clinical practice of Mykola Kvach, Chief Physician of the Right-Bank branch of the “Harmony of Health” clinic network and a urologist with over 20 years of experience.
Morcellation – a critically important stage of enucleation
In the clinic, every thulium laser enucleation of the prostate logically concludes with morcellation of the removed lobes. It is at this stage that the final surgical outcome is determined – from the completeness of tissue removal to patient safety.
Mykola Kvach emphasizes that morcellation is potentially one of the most dangerous stages of the procedure. The risk of bladder wall injury requires максимально controlled and predictable equipment performance. Therefore, the choice of a morcellator is crucial for the safe completion of the operation.
Selection after thorough market analysis
Before purchasing the equipment, the urology team analyzed all certified solutions available on the Ukrainian market, as well as the experience of colleagues in Ukraine and abroad. As a result, the choice was made in favor of the Hawk urological morcellator from Loran Group.
According to the physician, more than 250 thulium laser enucleations have been performed using this device, and it has never stopped during surgery or caused a technical failure. In daily practice, operational stability is one of the key criteria in evaluating the effectiveness of a surgical instrument.
Control, adaptability and delicate performance
The Hawk morcellator allows speed adjustment according to the clinical situation – depending on the volume of enucleated tissue, the condition of the bladder, and visualization quality. The physician notes that even without using maximum speed modes, effective and delicate morcellation can be achieved.
Operation is controlled via a single foot pedal, simplifying the surgeon’s workflow and allowing focus on visual control. The system combines aspiration and tissue fragmentation functions, ensuring continuity of the surgical stage.
Morcellation safety – a key argument
Special attention in the video is given to safety. According to Mykola Kvach, in case of contact with the bladder wall, the risk of injury is minimized due to the controlled operation of the device. Even with aspiration activated but without pressing the rotation pedal, the system does not traumatize the mucosa.
The physician notes that the predictable behavior of the instrument distinguishes Hawk from other solutions, including top brands. For a urologist, this means confidence at every stage of the procedure and reduced intraoperative risks.
Platform for professional exchange
Mykola Kvach emphasizes the clinic’s openness to professional dialogue. Urologists implementing thulium laser enucleation or improving morcellation techniques can observe the practical process directly in the operating room. The video will be useful for physicians working with TFL technologies, planning equipment upgrades, or seeking a reliable solution for the final stage of prostate enucleation.
For medical institutions implementing modern endoscopic treatment methods for benign prostatic hyperplasia, it is important to take a comprehensive approach to operating room equipment. The Loran Group portfolio includes a full range of urology solutions – from thulium and holmium surgical lasers to morcellators, endoscopic systems, and auxiliary equipment.
