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Updated: Jan 10, 2026
Surgical Treatment for Benign Prostatic Hyperplasia: Holmium Laser Enucleation of the Prostate HoLEP.
Published on: March 6, 2018
Laser surgical management of benign prostatic hyperplasia
Steeve Doizi1, Frédéric Panthier2, Olivier Traxer3
1Service d'Urologie, Hôpital Tenon, Sorbonne Université, AP-HP, 75020 Paris, France; GRC n(o) 39, Santé de l'homme, Hôpital Tenon, Sorbonne Université, 75020 Paris, France; GRC n(o) 20, Endolase Lab, PIMM Lab Arts et Métiers ParisTech, Sorbonne Université, 75020 Paris, France; PIMM, UMR 8006 CNRS-Arts et Métiers ParisTech, 151, boulevard de l'Hôpital, 75013 Paris, France; Endourology Technology Section of European Association of Urology (EAU), Arnhem, Netherlands.
Lasers offer comparable outcomes to other energy sources for benign prostatic hyperplasia (BPH) surgical management, with fewer complications. Further research is needed to optimize laser treatments for BPH.
Area of Science:
- Urology
- Surgical Technology
Background:
- Benign prostatic hyperplasia (BPH) is a common condition requiring surgical intervention.
- Laser technology has emerged as a significant tool in BPH management.
Purpose of the Study:
- To evaluate the role and efficacy of various lasers in the surgical treatment of BPH.
- To review the risks and benefits associated with laser use in urological surgery.
Main Methods:
- A comprehensive literature review was performed using the Medline database.
- Keywords included "prostate" and "laser" to identify relevant studies.
- A narrative review focused on laser types, surgical techniques, and associated risks.
Main Results:
- Several laser types are utilized for BPH treatment, including Ho:YAG, Tm:YAG, thulium fiber, Greenlight KTP/LBO, and diode lasers.
- Laser therapies demonstrate outcomes comparable to alternative energy sources.
- Lasers present an improved safety profile regarding peri- and postoperative complications.
Conclusions:
- Lasers are increasingly recognized as a reference energy source for BPH surgery.
- Further randomized controlled trials with long-term follow-up are necessary to refine laser treatment protocols for BPH.
