Our clinic’s first experience with HoLEP

Doğan, Serkan; Yildiz, Kenan Y

doi:10.14744/nci.2019.24855

Cited by 3 publications

(2 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Similarly, it is equally effective as TURP for smaller prostates with the lowest complications rates [10,15,16]. Holep significantly improves Qmax and reduces LUTS, all of which have been proven in many reports [17][18][19]. As a result of the learning curve, Holep-associated complications such as prostate capsular perforation or bladder mucosal damage are likely to occur more frequently when the procedure is newly implemented, but decrease with time and experience [7,16].…”

Section: Discussionmentioning

confidence: 99%

Holmium laser enucleation of the prostate: a 3-year single-center experience of 173 cases

et al. 2022

View full text Add to dashboard Cite

Background Holmium laser enucleation of the prostate (Holep) is a safe, effective, and prostate size-independent procedure for benign prostatic hyperplasia treatment (BPH). Holep has demonstrated comparable long-term outcomes with historical BPH mainstay treatments, namely open prostatectomy or transurethral resection of the prostate, as well as straightforward evidence of its low morbidity. In this study, we aimed to report our 3-year Holep experience based on 173 patients. Methods We conducted a retrospective descriptive single center study utilizing medical charts of 173 patients who underwent Holep between 2017 and 2020. Peri and postoperative measures included prostate volume, peak urinary flow rate (Qmax), prostate specific antigen, catheterization time, hospital stay, and complications. Results The mean age and mean prostate weight at baseline were 71.3 ± 7.8 years and 64.2 g (17 and 380 g), respectively. Holep was associated with a short catheterization time and hospital stay (2.7 and 3 days, respectively). Qmax significantly improved after Holep (8.1 vs 20.4 ml/s, p < 0.05), and results sustained at 06 months postoperatively. Perioperative and postoperative complications were mainly represented by hematuria (29%). However, more than half of these patients were taking anticoagulation drug therapy at the time of surgery. Complications mostly occurred during the early years following Holep’s introduction and tended to decrease with time and experience. Conclusion Holep remains a safe and effective procedure for BPH treatment, with durable long-term results even in clinical settings where the procedure is new. The rate of complications, which is associated with the learning curve, improves with time and experience.

show abstract

Section: Discussionmentioning

confidence: 99%

Holmium laser enucleation of the prostate: a 3-year single-center experience of 173 cases

et al. 2022

View full text Add to dashboard Cite

show abstract

“…All patients except one had complete enucleation of their prostates in one session. In Turkey, a research team reported a morcellated prostate volume of 29.2 ± 11 ml [11], while another team reported that the resected adenoma volume was 52.3 ± 8.3 ml [29]. In South Korea, a sonographically calculated resected prostate tissue volume of 29.2 ± 20.1 ml [30] was reported in keeping with our observation that prostates we see in Nigeria or Africa presenting for surgery are much bigger than those seen in several other continents.…”

Section: Discussionmentioning

confidence: 99%

Initial experience with holmium laser enucleation of the prostate in a urology specialist hospital in Nigeria

Undie¹,

Nnana²,

Torporo³

2021

Afr J Urol

View full text Add to dashboard Cite

Background Holmium laser enucleation of the prostate (HoLEP) is a more recent procedure for the management of Benign Prostatic Hyperplasia compared to open prostatectomy or Transurethral Resection of the Prostate. HoLEP is not commonly done in Nigeria. The objective of the study was to determine whether our initial experience with HoLEP in Abuja, favourably compared to those of other centres across the world. Methods A retrospective study was done on 40 patients who had HoLEP between October 2018 and December 2019. Pre- and post-operative International Prostate Symptom Score (IPSS), prostate-specific antigen (PSA), prostate sizes, maximum flow rate (Qmax) and post-void residual urine volume (PVR) were collated. The duration of irrigation, catheterization and length of hospital stay were also recorded and analysed. Complications were documented. Results There were improvements in IPSS from 19.67 to 5.41, PSA from 8.07 to 2.03 ng/ml,Qmax from 11.27 to 29.67 ml/min, PVR from 88.99 to 32.8 ml, while average prostate sizes reduced from 116.54 to 30.3 g after surgery. Following HoLEP, the duration of irrigation was 18.00 h, catheterization was 26.76 h and length of hospital stay was 1.82 days. Two (5.0%) patients were recatheterized, 4 (10.0%) developed post-operative bladder neck stenosis. Conclusions The outcome of HoLEP in our experience compared favourably with those from other centres. With adequate training and requisite equipment in resource-poor environments, technical procedures like HoLEP can be embarked on with favourable results.

show abstract

Challenging the Gold Standard Transurethral Resection of the Prostate with Holmium Laser Enucleation in the Treatment of Benign Prostatic Hyperplasia: Paradigm Shift in Northern Cyprus

Bayraktar

2024

Diseases of Prostate - Management Strategies and Emerging Technologies [Working Title]

View full text Add to dashboard Cite

Benign prostatic hyperplasia (BPH) is a common condition among men over the age of 50, which can significantly impact their quality of life. Transurethral Resection of the Prostate (TURP) has long been considered the gold standard for the surgical treatment of BPH because of its effectiveness and integration into urology training. However, in recent years, Holmium Laser Enucleation of the Prostate (HoLEP) has gained popularity owing to reduced bleeding, shorter hospitalization, and faster recovery times. This study aimed to evaluate the transition from TURP to HoLEP among urologists at Burhan Nalbantoğlu State Hospital by analyzing learning curves, complication rates, and patient outcomes. The study results suggest that HoLEP offers several advantages over TURP, including shorter hospital stay and lower postoperative complications, although it requires significant training and investment. Overall, this study supports HoLEP as a promising alternative to TURP, reflecting a shift in the paradigm of BPH management.

show abstract

Our clinic’s first experience with HoLEP

Cited by 3 publications

References 43 publications

Holmium laser enucleation of the prostate: a 3-year single-center experience of 173 cases

Holmium laser enucleation of the prostate: a 3-year single-center experience of 173 cases

Initial experience with holmium laser enucleation of the prostate in a urology specialist hospital in Nigeria

Challenging the Gold Standard Transurethral Resection of the Prostate with Holmium Laser Enucleation in the Treatment of Benign Prostatic Hyperplasia: Paradigm Shift in Northern Cyprus

Contact Info

Product

Resources

About