Bibliographic record
Abstract
The new thulium fiber laser became available in North America over thepast year. The study aim of this video is to demonstrate in a stepwise approach the method ofperforming a thulium fiber laser enucleation of the prostate (TFLEP). TFLEP is indicated for men with bothersome lowerurinary tract symptoms who have evidence of bladder outlet obstruction. Gland sizecan be any size (>30grams). The patient in this video is a 72 y.o. gentleman with a past medical history of hypertension. He had failed 2 trial of voids and was catheter dependent. His prostatewas estimated to be 153.4 grams on MRI. Using the new thulium fiber laser, enucleation of the prostate can besuccessful performed. As seen in the video, there is minimal bleeding and minimal carbonization of the tissue using the no touch technique.Settings include 1J and 60Hz with the short pulse for enucleation and 1J and 30Hz with the long pulse for hemostasis. Enucleation time was 45 mins and morcellation time was 13 mins. Urine was clear in the recovery room and the patient went home with his catheter 4 hours post-surgery. The key to using this new laser for enucleation of the prostate, includes avoiding direct contact with the tissue as this will minimize carbonization. The main advantages of this new laser for enucleation of the prostate are exceptional hemostasis and excellent tissue separation. Future studies should compare this new laser with others that are currently available for prostate enucleation.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".