Holmium Laser Enucleation of the Prostate Versus Open Prostatectomy for Prostates >70g: 24-Month Follow-up

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

“…Similar treatment outcomes have been demonstrated when HoLEP was compared to open prostatectomy for the treatment of large prostates. Surgical time and removed tissue weight were better in open prostatectomy, but duration of catheterization, hospital stay and bleeding were better in HoLEP (9,11,20,21 HoLEP can be performed effectively after about 50 cases, with an outcome comparable to that of experts (12). Their conclusion was based on enucleation efficacy analysis and complication rate.…”

Holmium Laser Enucleation of the Prostate: Modified Technical Aspects

“…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.…”

The relationship between the reproducibility of holmium laser enucleation of the prostate and prostate size over the learning curve

“…Several randomized controlled trials have clarified that HoLEP is superior to TURP [10][11][12][13] and open prostatectomy. [14][15][16] Other reports have documented that HoLEP is as durable as open prostatectomy at more than 5-year follow-up. 8,14,17 Furthermore, HoLEP has shown that efficacy and safety are independent of prostate size under about 100 or more performances.…”