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Updated: Aug 9, 2025

Surgical Treatment for Benign Prostatic Hyperplasia: Holmium Laser Enucleation of the Prostate HoLEP.
Published on: March 6, 2018
Minimally Invasive Treatment in Benign Prostatic Hyperplasia (BPH)
L V Sciacqua1, A Vanzulli1, R Di Meo1
1Residency Program in Diagnostic and Interventional Radiology, Università degli Studi di Milano, Milan, Italy.
Minimally-invasive treatments for benign prostatic hyperplasia (BPH) are effective and safe alternatives to surgery for relieving lower urinary tract symptoms (LUTS). These advanced procedures offer comparable results with a lower incidence of adverse effects.
Area of Science:
- Urology
- Minimally Invasive Procedures
- Medical Technology
Background:
- Benign Prostatic Hyperplasia (BPH) is a common condition causing Lower Urinary Tract Symptoms (LUTS).
- Traditional surgical interventions, while effective, carry significant risks and side effects.
- There is a growing need for safer, less invasive treatment options for BPH patients.
Approach:
- A comprehensive systematic review of peer-reviewed literature published between 1993 and 2022.
- Inclusion of original research articles, reviews, and case studies from public repositories.
- Focus on evaluating the efficacy and safety profiles of various minimally invasive BPH treatments.
Key Points:
- Prostate Artery Embolization (PAE), Transurethral Needle Ablation (TUNA), Transurethral Microwave Thermotherapy (TUMT), High Intensity Focused Ultrasound (HIFU), laser treatments, and Cryoablation were assessed.
- These minimally invasive techniques demonstrate validity and safety in managing LUTS associated with BPH.
- Reported undesired effects are generally fewer compared to traditional surgical methods.
Conclusions:
- Minimally invasive treatments represent viable and safe alternatives to surgery for BPH-related LUTS.
- Patients may experience comparable symptom relief with an improved safety profile.
- Further research and clinical adoption of these techniques are warranted.
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