Salvage Holmium laser enucleation of prostate to treat recurring benign prostatic hyperplasia

Oh, Jin Kyu; Bae, Jun Ho; Jeong, Chang Wook; Paick, Jae‐Seung; Oh, Seung‐June

doi:10.5489/cuaj.1494

Cited by 10 publications

(23 citation statements)

References 18 publications

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“…These findings were comparable to other published retrospective series in the literature. [ 6 7 8 ] Contradictory to our results, the largest multi-centric retrospective study from 4 tertiary referral centers in the United States evaluating outcomes of 360 patients who underwent salvage HoLEP after varieties of initial BPH procedures noted that salvage HoLEP was associated with marginal increase in risk of clot retention and urethral stricture at 6 months follow-up. [ 9 ] Despite these marginal differences, the outcome was favorable and comparable to patients undergoing HoLEP as the primary procedure to treat BPH in this study.…”

Section: Discussionmentioning

confidence: 52%

“…Our findings are comparable to other retrospective studies published in the literature [ Table 3 ]. [ 6 7 8 9 ] Capsular perforation was noted in 5 patients, 2 in the study group and 3 in the control group and the difference was statistically insignificant. We noted that prior TURP did not cause significant adhesions between the residual adenoma and the surgical capsule.…”

Section: Discussionmentioning

confidence: 85%

“…noted that 3/35 patients undergoing salvage HoLEP after prior prostate surgeries that included TURP, photo-selective vaporization of prostate and transurethral needle ablation of prostate had ill-defined and nonprominent plane for enucleation. [ 8 ] They did not specify which prostate surgery these patients had before HoLEP as their study group included patients with varieties of previous prostate surgeries, including TURP.…”

Section: Discussionmentioning

confidence: 99%

“…All four published series that presented outcomes of HoLEP as a secondary or salvage procedure, are retrospective in nature and included patients who failed all prior interventions for BPH, including TURP. [ 6 7 8 9 ] Hence, it is difficult to differentiate the impact of prior TURP alone on HoLEP outcomes. The primary outcome of our study was to prospectively evaluate technical difficulties during HoLEP that occur due to prior TURP.…”

Section: Introductionmentioning

confidence: 99%

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Does prior transurethral resection of prostate have a negative impact on the outcome of holmium laser enucleation of prostate? Results from a prospective comparative study

et al. 2022

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Objectives To prospectively evaluate safety and efficacy of holmium laser enucleation of prostate (HoLEP) for surgical treatment of recurrent symptoms due to prostatomegaly after prior transurethral resection of prostate (TURP). Materials and Methods: We prospectively evaluated 43 patients with a history of TURP who underwent HoLEP (study group). Patients in chronological order who underwent HoLEP without prior TURP were included in the control group. We hypothesized that prior TURP would increase technical difficulties, thereby leading to a reduction in procedure efficiency by 25%. Patients’ demographic, intraoperative, and postoperative data were compared, and statistical analysis was performed. Results: Demographic data in both groups were comparable. The average interval between past TURP and HoLEP was 4.22 years. There was no difficulty in identifying the dissection plane in the study group and the difference in the procedure efficiency between the study and the control groups were statistically insignificant (0.75 ± 0.31 g/min-study group vs. 0.69 ± 0.36 g/min-control group; P = 0.665). The intraoperative parameters and postoperative outcomes were comparable in both groups. Conclusions: Prior TURP does not negatively impact the outcome of HoLEP in treating symptomatic recurrence for enlarged prostate after initial TURP.

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Section: Discussionmentioning

confidence: 52%

Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Does prior transurethral resection of prostate have a negative impact on the outcome of holmium laser enucleation of prostate? Results from a prospective comparative study

et al. 2022

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“…HoLEP consists of 2 steps—enucleation and morcellation [ 7 ]. Theoretically, adenoma tissue will be lost during laser enucleation and morcellation, as much as 20% loss of the enucleated adenoma during HoLEP.…”

Section: Introductionmentioning

confidence: 99%

Measuring change in prostate size after holmium laser enucleation: A prospective study

2017

Investig Clin Urol

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PurposeTo analyze postoperative outcomes of prostate surgery, resected specimen weight is commonly used. The difference between the preoperative calculated transitional zone volume and actual enucleated specimen weight following holmium laser enucleation of the prostate (HoLEP) is reported at over 20%. The reason for this difference is unclear. We assessed the association of volume of the prostatic adenoma with enucleated weight, the volume and calculated volume of the adenoma by pre- and postoperative ultrasonographic measurement.Materials and MethodsAll patients were prospectively enrolled who underwent HoLEP by two surgeons (SJO and JKO) between 2010 and 2015. Preoperative and postoperative prostate ultrasonography examinations were performed by a single examiner (JKO) during surgery, and weight and volume of the enucleated adenoma were measured. We compared preoperative adenoma size with postoperative weight and volume of the enucleated adenoma, calculated enucleated volume using ultrasonography, and calculated the correlation coefficients between preoperative adenoma volume and postoperative parameters.ResultsOne hundred forty-two patients with a mean age (±standard deviation) of 69.8 (±8.8) years were analyzed. The mean preoperative ultrasound-measured adenoma volume was 31.7 (±21.4) mL, while postoperatively the mean retrieved weight of the adenoma was 22.3 (±17.0) g and the mean volume was 22.3 (±16.8) mL. Postoperatively calculated enucleated volume using ultrasonography was most strongly correlated with preoperative adenoma size (Pearson correlation coefficient 0.965, p<0.01).ConclusionsOur study showed a significant difference between preoperative adenoma size and postoperative enucleated weight of adenoma during HoLEP. Postoperatively calculated enucleated volume using ultrasonography may be the most reliable parameter to assess surgical outcomes following HoLEP.

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Endoskopische Enukleation der Prostata

Miernik

Gross

Schoeb

et al. 2019

Urologe

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Salvage Holmium laser enucleation of prostate to treat recurring benign prostatic hyperplasia

Cited by 10 publications

References 18 publications

Does prior transurethral resection of prostate have a negative impact on the outcome of holmium laser enucleation of prostate? Results from a prospective comparative study

Does prior transurethral resection of prostate have a negative impact on the outcome of holmium laser enucleation of prostate? Results from a prospective comparative study

Measuring change in prostate size after holmium laser enucleation: A prospective study

Endoskopische Enukleation der Prostata

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