Holmium Laser Enucleation versus Transurethral Resection of the Prostate: 3-Year Follow-Up Results of a Randomized Clinical Trial

Ahyai, Sascha; Lehrich, Karin; Kuntz, Rainer M.

doi:10.1016/j.eururo.2007.04.053

Cited by 219 publications

(114 citation statements)

References 28 publications

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“…Randomized control studies have shown that symptom improvement attained after HoLEP is comparable to that obtained following TURP, with favorable results including removed tissue weight, duration of catheterization, hospital stay, need for blood transfusions, and the absence of TURP syndrome (4,5,(17)(18)(19). Similar treatment outcomes have been demonstrated when HoLEP was compared to open prostatectomy for the treatment of large prostates.…”

Section: Discussionsupporting

confidence: 54%

Enucleation ratio efficacy might be a better predictor to assess learning curve of holmium laser enucleation of the prostate

Jeong

Cho

et al. 2012

Int. braz j urol.

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Section: Discussionsupporting

confidence: 54%

Enucleation ratio efficacy might be a better predictor to assess learning curve of holmium laser enucleation of the prostate

Jeong

Cho

et al. 2012

Int. braz j urol.

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“…The results of HoLEP, as evidenced by PSA data, TRUS, the weight of tissue resected, urodynamic variables and data from many randomized trials, systematic reviews and meta-analyses, confirmed the effectiveness and durability of this technique [2][3][4][5][6][7]. HoLEP reproduces the removal of the whole obstructing adenoma (transitional zone) of the prostate by surgical enucleation, similar to the technique of using the index finger in open prostatectomy.…”

Section: Introductionmentioning

confidence: 76%

Holmium Laser Enucleation of the Prostate: Modified Technical Aspects

2010

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“…Results indicated that HoLEP significantly improved the IPSS, Qmax, and PVR outcomes when compared with TURP and the rate of procedural complications was similar between the 2 methods. 18,19 However, retrograde laser fibre dissection may be very complex for urologists who are more familiar with antegrade resection methods applied with TURP. It was reported that inexperienced urologic surgeons were in need of at least 50 cases to achieve familiarity with the HoLEP procedure; adjusting for this learning curve may be difficult.…”

Section: Outpatient Vs Inpatient Turp For Bphmentioning

confidence: 99%

Comparison of outpatient versus inpatient transurethral prostate resection for benign prostatic hyperplasia: Comparative, prospective bi-center study.

Kim

Park

Shim

et al. 2014

CUAJ

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Introduction:We compare the symptomatic relief with urodynamic parameter change and operative safety of the outpatient transurethral resection in saline (TURIS-V) technique with inpatient transurethral resection of the prostate (TURP) for the management of benign prostatic hyperplasia (BPH). Methods: This prospective cohort comparison study enrolled patients who needed BPH surgery. Between January 2010 and June 2011, outpatient TURIS-V was performed at 1 centre and the results of the treatment were compared with inpatient TURP performed at a separate hospital. Preoperative characteristics, including prostate volume, were similar in both groups. Perioperative data and any treatment complications were recorded. The analysis compared postoperative outcomes, including a 6-month postoperative International Prostate Symptom Score (IPSS), a quality of life (QoL) evaluation and a record of any changes in uroflowmetry findings, between the 2 groups. Results: In the TURIS-V patient group, 75 patients agreed to be in the study. Of these, 69 ultimately complete the study. In the TURP group, 76 patients agreed and 71 of these completed the study. Both study groups were well-matched for age, IPSS, QoL and uroflowmetry findings. The TURIS-V group experienced both shorter operation times (54.6 vs. 74.8 minutes) and shorter catheterization times (2.2 vs. 4.2 days) when compared to the TURP group. There were comparable improvements in the 6-month postoperative IPSS, QoL, and uroflowmetry findings between the 2 groups. There were also equally low incidence rates of procedural complications. Conclusions: Both TURIS-V and TURP relieve lower urinary tract symptoms in a similar way, with great efficacy and safety. Overall, TURIS-V had shorter operative and catheterization times compared to TURP. Notwithstanding the paper's limitations (non-randomized cohort comparison with possible selection or surgeon bias and small heterogeneous sample size), TURIS-V can be performed safely even in an outpatient setting.

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Holmium Laser Enucleation versus Transurethral Resection of the Prostate: 3-Year Follow-Up Results of a Randomized Clinical Trial

Cited by 219 publications

References 28 publications

Enucleation ratio efficacy might be a better predictor to assess learning curve of holmium laser enucleation of the prostate

Enucleation ratio efficacy might be a better predictor to assess learning curve of holmium laser enucleation of the prostate

Holmium Laser Enucleation of the Prostate: Modified Technical Aspects

Comparison of outpatient versus inpatient transurethral prostate resection for benign prostatic hyperplasia: Comparative, prospective bi-center study.

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