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Updated: Jun 26, 2026

Surgical Treatment for Benign Prostatic Hyperplasia: Holmium Laser Enucleation of the Prostate (HoLEP).

Surgical Treatment for Benign Prostatic Hyperplasia: Holmium Laser Enucleation of the Prostate (HoLEP).

Published on: March 6, 2018

[Prostatic enucleation with holmium laser].

A Santos García-Baquero¹, J Soler Martínez, F Blanco Reina

¹Unidad Clínica de Urología, H. R. U. Carlos Haya, Málaga, España. alfonso@alfonsosantos.com

Archivos Espanoles De Urologia

|January 15, 2009

Summary

This summary is machine-generated.

Holmium laser enucleation of the prostate (HoLEP) offers optimal results for benign prostatic hyperplasia (BPH) treatment, comparable to traditional methods. This technique reduces complications, catheterization time, and hospital stays, though it requires a learning curve.

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Area of Science:

Urology
Minimally Invasive Surgery

Context:

Benign prostatic hyperplasia (BPH) is a common condition in aging males.
Holmium laser enucleation of the prostate (HoLEP) is an emerging therapeutic option.

Purpose:

To evaluate the outcomes of holmium laser enucleation of the prostate (HoLEP) in a cohort of 300 patients.
To assess the safety and efficacy of HoLEP compared to established BPH treatments.

Summary:

HoLEP demonstrated favorable results, including a mean hospital stay of 1.8 days and reduced catheterization time.
Maximal flow rates improved significantly post-surgery, indicating effective BPH symptom relief.
Surgical performance averaged 0.48 grams resected per minute, with initial cases showing a steeper learning curve.

Impact:

HoLEP offers comparable efficacy to traditional BPH surgeries with a lower complication rate.
The procedure benefits patients through decreased transfusion needs, shorter catheterization, and reduced hospital stays.
A learning curve of approximately 20 procedures is noted, requiring surgeon adaptation for optimal implementation.