Holmium laser enucleation of the prostate (HoLEP) as same-day surgery: A safe and feasible option

Holmium laser enucleation of the prostate (HoLEP) in short‐circuit outpatient care: Is prostatic volume a limiting factor?

“…Conversely, opinions differ greatly as to whether patients presenting with prostates of a high volume should be limited or not. [8][9][10][11][12][13][14][15][16] Our average prostatic volume of 79.56 (50.46-108.66) mL and resected tissue of 51.2 (25-77.4) mL constitutes one of the greatest volumes reported to date. 15 Our rate of complications was similar among subjects with prostatic volumes that were both greater and smaller than 80 mL.…”

“…In our case and in most of the studies published, the main reason for the patient not being able to complete the OC and requiring CHA is due to the persistence of bleeding. [8][9][10][11][12][13][14][15][16] It is fundamental to understand that the greater the volume of the prostate, the greater the capsular surface size; therefore, it would predictably need not only a longer surgery time, but also a greater application of energy in order to perform correct coagulation of the entire capsular surface. In our series, the energy applied per resected gram varies between both groups; we applied more energy to those who completed SCOC, although the difference is not significant (Table 2).…”

“…The series reviewed primarily includes patients with average prostate volumes of less than 60-80 mL (Table 1). [8][9][10][11][12][13][14][15][16] At our site, we have been practicing HoLEP in SCOC since 2020 in those patients who were selected based on our own inclusion criteria.…”