Holmium laser enucleation of the prostate and holmium laser ablation of the prostate: indications and outcome

Abstract

HoLEP represents a valid alternative to both transurethral resection of the prostate and open prostatectomy for treatment of patients suffering from lower urinary tract symptoms due to benign prostatic enlargement. The recently published long-term follow-up data demonstrate the durability of functional results. HoLEP can be offered as the size-independent gold standard treatment of patients with lower urinary tract symptoms because of benign prostatic enlargement.

Extraperitoneoscopic Transcapsular Adenomectomy: Complications and Functional Results After at Least 1 Year of Followup

“…Despite the growing acceptance of transurethral procedures to treat large prostate glands 5,14,15 open simple prostatectomy has not lost its popularity. It is still first line treatment for a large prostate at many centers.…”

“…It affects about 70% of men 70 years old or older and is a significant cause of morbidity in those with BPH greater than 60 gm. 1,2 Despite the increasing popularity of bipolar TURP and HoLEP, which some groups consider the best treatment for BPH regardless of prostate size, [3][4][5] open simple prostatectomy remains the procedure of choice for glands too large for safe endoscopic resection. 6 In recent years LSP was proposed.…”

New Advances in Benign Prostatic Hyperplasia: Laser Therapy

“…Slow ablation times and the development of more efficient tissue removal techniques such as HoLEP ultimately led to diminished utility of HoLAP for the treatment of BPH. However, with the introduction of high-powered, 100 W Ho:Yag laser systems, interest in HoLAP for the treatment of small to moderate-sized prostates has resurfaced because this technique is simpler to perform [6].…”

Is it necessary and feasible to increase the efficiency of 2-µm thulium laser resection of the prostate?

“…11,12 Thus, we must improve the proficiency and reduce the learning curve of this technique. Our experience has shown that a basic grasp of the technique can be obtained after 30 TURP, 20 HoLEP and only 10 TmLRP-TT training cases.…”