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Updated: Apr 30, 2026

Surgical Treatment for Benign Prostatic Hyperplasia: Holmium Laser Enucleation of the Prostate HoLEP.
Published on: March 6, 2018
[Observational study on urinary status following HoLEP].
Yuka Kono1, Keiyu Matsumoto1, Norihiko Masuda1
1The Department of Urology, Kobe City Medical Center General Hospital.
Holmium laser enucleation of the prostate (HoLEP) is a safe and effective treatment for benign prostatic hyperplasia (BPH). This procedure significantly improves urinary symptoms and quality of life for patients.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Laser Technology
Context:
- Benign prostatic hyperplasia (BPH) affects a significant portion of the aging male population.
- Current BPH treatments have varying efficacy and complication rates.
- Holmium laser enucleation of the prostate (HoLEP) is an alternative surgical option.
Purpose:
- To evaluate the safety and long-term postoperative urinary status following HoLEP for BPH.
- To assess the efficacy of HoLEP using standardized metrics like International Prostate Symptom Scores (I-PSS), Quality of Life (QOL) scores, maximum flow rate (Qmax), and post-voiding residual urine volume (PVR).
Summary:
- A study followed 49 patients for at least two years after HoLEP for BPH.
- Significant improvements were observed in I-PSS, QOL, Qmax, and PVR post-surgery.
- HoLEP demonstrated a favorable safety profile with minimal severe complications, though transient incontinence occurred.
Impact:
- HoLEP offers a safe and effective therapeutic option for BPH management.
- The procedure shows potential to become a new gold standard in BPH treatment.
- Long-term follow-up data supports the durability and efficacy of HoLEP.
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