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Updated: Jun 30, 2026
Surgical Treatment for Benign Prostatic Hyperplasia: Holmium Laser Enucleation of the Prostate (HoLEP).
Published on: March 6, 2018
[Holmium laser urethrotomy for male urethral stricture]
Jun Xiao1, Bin Wu, Ling-Wu Chen
1Department of Urology, Anhui Provincial Hospital, Anhui Medical University, Hefei, Anhui 230001, China. xiaojunpp@126.com
Objective:
To evaluate transurethral holmium laser incision, its safety and effect in the treatment of male urethral stricture.
Methods:
Thirty-eight males with urethral stricture were treated by 1045 W holmium laser urethrotomy, 18 with the stricture length shorter than 1.0 cm, 9 between 1.0 cm and 1.5 cm, 7 longer than 1.5 cm , 4 with occlusive stricture and 6 companies with bladder calculus. The average peak urinary flow rate (Q(max)) was (5.6 +/- 2.3) ml/s.
Results:
Successful surgery was achieved in 36 of the cases, with no complications and the average Q(max) increased to (17.5 +/- 3.4) ml/s. Two cases were converted to open surgery. Thirty-two cases were followed up for 3-18 months, of whom 4 received urethral dilation and 2 underwent a second holmium laser urethrotomy.
Conclusion:
Holmium laser urethrotomy is a safe, effective and minimally invasive therapeutic modality for male urethral stricture.
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