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Updated: May 5, 2026

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Surgical Treatment for Benign Prostatic Hyperplasia: Holmium Laser Enucleation of the Prostate HoLEP.
Published on: March 6, 2018
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Lasers for Benign Prostatic Obstruction: And the Winner Is ….
Ziv Savin1, Esther Garcia Rojo2, Celeste Manfredi3
1Department of Urology, Tel Aviv Sourasky Medical Center, Tel Aviv University, Tel Aviv, Israel.
European Urology Focus
|April 22, 2025
Summary
Laser surgery for benign prostatic obstruction (BPO) has advanced significantly. Holmium and thulium lasers are now common, offering effective prostate tissue removal with minimal invasiveness.
Area of Science:
- Urology
- Surgical Technology
- Laser Medicine
Background:
- Benign prostatic obstruction (BPO) affects a significant number of men, necessitating effective treatment options.
- Surgical interventions for BPO have evolved over the past three decades.
- Advancements in laser technology have been driven by improved understanding of laser-tissue interactions and clinical experience.
Purpose of the Study:
- To review current trends in laser applications for the surgical treatment of BPO.
- To highlight the most commonly used laser types and their characteristics.
- To summarize the clinical evidence supporting laser efficacy in BPO surgery.
Main Methods:
- Review of recent literature on laser technologies for BPO treatment.
- Focus on holmium and thulium lasers due to their properties (water absorption, minimal penetration).
- Analysis of clinical studies assessing the efficiency of these laser modalities.
Main Results:
- Holmium and thulium lasers are the predominant technologies for BPO surgery.
- These lasers exhibit favorable characteristics for prostate tissue ablation.
- Clinical studies confirm the efficiency and safety of these laser treatments.
Conclusions:
- Laser therapy, particularly with holmium and thulium lasers, represents a significant advancement in BPO surgical treatment.
- Continued evolution of laser technology offers improved outcomes for patients with benign prostatic enlargement.
- These laser techniques provide effective solutions for relieving urinary obstruction caused by an enlarged prostate.
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