2103 INFLUENCE OF 5α-Reductase INHIBITORS (5-Ari) TREATMENT ON HOLMIUM LASER ENUCLEATION OF THE PROSTATE (HOLEP)

A Focused Review on the Effects of Preoperative 5α-Reductase Inhibitors Treatment in Patients Undergoing Holmium Laser Enucleation of the Prostate: What Do We Know So Far?

“…The only statistically significant difference between those two groups was the higher prostate volume of the patients who received 5-ARI treatment, which also explains the higher resected volume during HoLEP. 6 The largest retrospective study included in our analysis is by Monn et al, which enrolled 960 patients and reached a similar conclusion. In this study, the authors tried to find preoperative predictors of enucleation and morcellation efficiency in patients undergoing HoLEP.…”

“…The mentioned literature review yielded only seven studies (including two congress abstracts) related to the impact of 5-ARIs on HoLEP. 2,[4][5][6][7][8][9] In all studies, the data were collected retrospectively. Two used retrospective video recording for evaluation of the surgical technique characteristics, one of them for bleeding severity and the other for enucleation difficulty.…”