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Holmium:YAG laser resection of the prostate: preliminary experience with the first 400 cases
M D Cresswell1, C B Cass, M R Fraundorfer
1Department of Urology, Tauranga Hospital.
Aim:
To report the development of the technique of laser resection of the prostate using the holmium:YAG (Ho:YAG) laser and to present preliminary results.
Methods:
Four hundred and eleven patients underwent Ho:YAG laser resection of the prostate (HoLRP). Preoperative and postoperative symptom scores, and flow rates were assessed. A description of the technique and its development is presented.
Results:
The mean American Urological Association (AUA) symptom score reduced from 23.6 to 4.9, and the mean peak urinary flow rate improved from 7.7 ml/s to 22.6 ml/s at 6 months postoperatively. The mean hospital stay was 1.3 days and complication rates were lower than those generally associated with electrosurgical transurethral resection of the prostate (TURP).
Conclusion:
Transurethral resection of the prostate using Ho:YAG laser produces early results equivalent to or better than those usually associated with electrosurgical TURP, with a shorter hospital stay and a lower rate of complications.