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Updated: Jun 9, 2026
Surgical Treatment for Benign Prostatic Hyperplasia: Holmium Laser Enucleation of the Prostate (HoLEP).
Published on: March 6, 2018
[Holmium laser enucleation of the prostate. Experience in Hospital Germans Trias i Pujol]
1Servicio de Urología, Hospital Germans Trias i Pujol, Badalona, Barcelona, España. obuisan2903@gmail.com
Objectives:
Evaluate the introduction of the enucleation with Holmium laser in our center, including the surgeon's learning curve by the analysis of the patients.
Materials And Methods:
150 procedures have been analyzed in a retrospective manner with an average follow-up of 11 months. Qmax, IPSS and Qol have been determined before surgery, at 6 months and 12 months, realizing their statistic analysis. PSA was measured before surgery and after 3 months. Complications, surgical time and hospital stay have been analyzed.
Results:
Average patient age was 72, 4 years. Average prostatic size was of 71,3 gr (18-150). Average hospital stay was of 22 h. Qmax before surgery, 6 months, 12 months was of 7,53 ml/s, 23,24 ml/s and 21,62 ml/s being statistically significant (p<0,01). Transfusion rate was of 1,3% and urethral stenosis rate of 4%. IPSS improvement at 6 and 12 months was statistically significant as well (p<0, 01).
Conclusions:
Enucleation with Holmium laser is a safe and effective technique with lower complication rate than TURP, included during the learning curve.
