Efficacy and safety of holmium laser enucleation of the prostate for extremely large prostatic adenoma in patients with benign prostatic hyperplasia

Korean journal of urology
Myong KimSeung-June Oh

Abstract

To evaluate the efficacy and safety of holmium laser enucleation of the prostate (HoLEP) for extremely large prostates. Patients undergoing HoLEP between July 2008 and December 2013 from the Seoul National University Hospital Benign Prostatic Hyperplasia Database Registry were retrospectively analyzed. The patients were divided into three groups according to their total prostate volume (TPV): group A (TPV<100 mL), group B (100 mL≤TPV<200 mL), and group C (TPV≥200 mL); the clinical data of the three groups were compared. All patients were followed up 2 weeks, 3 months, and 6 months after surgery. A total of 502 patients (group A, 426; group B, 70; group C, 6) with a mean age of 69.0 (standard deviation, ±7.3) years were included in our analysis. The mean prostate volume and prostate-specific antigen level were 68.7±36.9 mL and 4.15±4.24 ng/mL, respectively. The enucleation and morcellation times were longer in group C (p<0.001), and the enucleation efficacy was higher in this group (p<0.001, R(2)=0.399). Moreover, the mean postoperative catheterization and hospitalization periods were significantly longer in group C (p=0.004 and p=0.011, respectively). However, there were no significant differences between the groups in any othe...Continue Reading

Citations

Apr 8, 2016·Current Urology Reports·Shiva Madhwan NairPeter John Gilling
Nov 23, 2017·The World Journal of Men's Health·Sejun ParkKyung Hyun Moon
Jul 10, 2020·Andrologia·Seung-June Oh, Toshiya Shitara
Sep 11, 2019·Investigative and Clinical Urology·Seung-June Oh
Dec 28, 2018·The World Journal of Men's Health·Myong KimUNKNOWN KSSMA RASP group
Sep 28, 2021·Urologia Internationalis·Angelo PorrecaRiccardo Schiavina

❮ Previous
Next ❯

Software Mentioned

HoLEP
PASW Statistics

Related Concepts

Related Feeds

Blood Clotting Disorders

Thrombophilia includes conditions with increased tendency for excessive blood clotting. Blood clotting occurs when the body has insufficient amounts of specialized proteins that make blood clot and stop bleeding. Here is the latest research on blood clotting disorders.