Day‐case holmium laser enucleation of the prostate for gland volumes of &lt; 60 mL: early experience

Larner, Tim; Agarwal, Dinesh; Costello, Anthony J.

doi:10.1046/j.1464-410x.2003.03086.x

Cited by 58 publications

(38 citation statements)

References 18 publications

(18 reference statements)

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“…Only one randomized trial has shown that the weight of the gland retrieved was less compared to that in the TURP group [13] . In another study, Larner et al [14] retrieved only 7 g for a mean gland size of 35 g. This study was reported as an early experience, as in our study. The reasons explained were excessive vaporization and desiccation of the prostatic adenoma due to laser energy.…”

Section: Discussionsupporting

confidence: 59%

Comparison of HoLEP and TURP in Terms of Efficacy in the Early Postoperative Period and Perioperative Morbidity

et al. 2009

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Objectives: We conducted this study to compare the safety and efficacy of transurethral resection of the prostate (TURP) and holmium laser prostatectomy. Methods: A total of 30 patients eligible for surgery for symptomatic benign prostatic hyperplasia were included in the study. They were randomized into two groups of 15 each. The patients were evaluated at 3 weeks, 3 and 9 months. Results: Preoperative parameters were comparable between the 2 groups. The mean operative time was longer in the holmium laser enucleation of prostate (HoLEP) group (53 ± 9.84 vs. 43 ± 9.36 min; p = 0.001). The intraoperative adverse events were comparable. The mean traction time (26.80 ± 5.9 vs. 19.60 ± 3.6 h; p = 0.0001), irrigation time (30 ± 7.68 vs. 19.40 ± 1.15 h; p = 0.0001), and duration of indwelling catheter (78.20 ± 17.84 vs. 46.42 ± 14.25 h; p = 0.0001) were significantly less in the HoLEP group as compared to the TURP group. Two patients (13.66%) in the TURP group had significant hematuria. Two patients in the HoLEP group vs. none in the TURP group developed urinary incontinence (p < 0.05). Significant improvements were observed in IPSS score, PFRs and PVRs in both the groups and maintained at 9 months. Conclusions: HoLEP is safe and effective in the surgical management of benign prostatic hyperplasia, with the advantage of reduced intraoperative hemorrhage and perioperative morbidity.

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Section: Discussionsupporting

confidence: 59%

Comparison of HoLEP and TURP in Terms of Efficacy in the Early Postoperative Period and Perioperative Morbidity

et al. 2009

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“…TRUS measurements following prostatectomy have been reported (table 2) [10][11][12][13][14]. The remaining prostate volume was 30.1-61.1 ml for TURP, 28-37.38 ml for holmium laser enucleation of the prostate (HOLEP) and 17.3 ml in TUE [10,13,14].…”

Section: Discussionmentioning

confidence: 99%

“…The remaining prostate volume was 30.1-61.1 ml for TURP, 28-37.38 ml for holmium laser enucleation of the prostate (HOLEP) and 17.3 ml in TUE [10,13,14]. The remaining adenoma volume was 16.6 ml for open prostatectomy, 30.7 ml for HOLEP and 0.5 for TUE [11].…”

Section: Discussionmentioning

confidence: 99%

Measurement of Residual Adenoma after Transurethral Resection of the Prostate by Transurethral Enucleation Technique

et al. 2005

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Objective: Transurethral resection of the prostate (TURP) leaves a lot of residual adenoma and has a high recurrence rate, but the residual adenoma weight has not been measured surgically. Using surgery we tried to measure the residual adenoma after TURP. Material and Methods: Total adenoma resection was performed via standard TURP in 64 cases with benign prostatic hyperplasia and the weight of the residual adenoma was measured by transurethral enucleation (TUE) of the prostate. Results: Prostate volume averaged 37.4 ml and adenoma volume averaged 20.6 ml by TRUS. The average weight of the prostate removed by TURP was 9.8 g. After TURP residual adenoma was confirmed in all cases by TUE, and the average weight of the residual adenoma was 10.2 g. The total average prostate volume removed by TURP and TUE was 20.1 g. The average residual rate of the adenoma removed by TURP was 54.5%. Conclusion: TURP leaves about half of the adenoma. Therefore, TURP might be very difficult for complete resection of an adenoma.

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“…Another randomized trial of men with prostate volumes less than 40 g demonstrated that day stay HoLEP surgery was achievable, with a mean hospital stay of 12.3 hours [ 20 ].…”

Section: Holmium Laser and Day Case Surgerymentioning

confidence: 99%

The high-powered holmium laser to treat benign prostatic hyperplasia

Wilson¹,

Gilling²

2008

Curr Bladder Dysfunct Rep

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Day‐case holmium laser enucleation of the prostate for gland volumes of < 60 mL: early experience

Cited by 58 publications

References 18 publications

Comparison of HoLEP and TURP in Terms of Efficacy in the Early Postoperative Period and Perioperative Morbidity

Comparison of HoLEP and TURP in Terms of Efficacy in the Early Postoperative Period and Perioperative Morbidity

Measurement of Residual Adenoma after Transurethral Resection of the Prostate by Transurethral Enucleation Technique

The high-powered holmium laser to treat benign prostatic hyperplasia

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