LBA01-05 SURGICAL TREATMENT OF LOWER URINARY TRACT SYMPTOMS DUE TO BENIGN PROSTATIC ENLARGEMENT BY HOLMIUM LASER ENUCLEATION OF THE PROSTATE VERSUS TRANSURETHRAL RESECTION OF THE PROSTATE AND OPEN ADENOMECTOMY

Abstract

You have accessJournal of UrologyCME1 May 2022LBA01-05 SURGICAL TREATMENT OF LOWER URINARY TRACT SYMPTOMS DUE TO BENIGN PROSTATIC ENLARGEMENT BY HOLMIUM LASER ENUCLEATION OF THE PROSTATE VERSUS TRANSURETHRAL RESECTION OF THE PROSTATE AND OPEN ADENOMECTOMY Miguel Beltran, Yoni Pallas, Ivan Povo, Sara Mitjana, Kevin Rechi, Marta Diranzo, Fernando Martinez, Rosa Gras, and Emilio Lopez Miguel BeltranMiguel Beltran More articles by this author , Yoni PallasYoni Pallas More articles by this author , Ivan PovoIvan Povo More articles by this author , Sara MitjanaSara Mitjana More articles by this author , Kevin RechiKevin Rechi More articles by this author , Marta DiranzoMarta Diranzo More articles by this author , Fernando MartinezFernando Martinez More articles by this author , Rosa GrasRosa Gras More articles by this author , and Emilio LopezEmilio Lopez More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002669.05AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Holmium laser enucleation of the prostate (HoLEP) is a novel technique for the treatment of lower urinary tract symptoms (LUTS) resulting from benign prostatic enlargement (BPE). Current literature proposes that it can replace other techniques as a size-independent surgical treatment of BPE.The aim of the study was to analyse the improvement in uroflowmetry (Qmax), hospitalization days, postoperative catheterisation, urinary incontinence and erectile dysfunction (ED) in patients treated with transurethral resection of the prostate (TURP) and HoLEP for prostates <90cc and in those treated with open adenomectomy and HoLEP for prostates >90cc. METHODS: 180 patients were enrolled in this prospective study from January 2020 to October 2021 in our centre. 38 and 51 patients underwent TURP and HoLEP respectively with prostate volume <90cc. 51 and 40 patients underwent open adenomectomy and HoLEP respectively with prostate volumes >90cc. RESULTS: In patients with prostate volumes >90cc, HoLEP achieved a mean improvement in Qmax at 6-12 months of 27.4 mL/s vs. 20.9 mL/s for adenomectomy (p=0.03), a mean hospital stay of 2.4 days vs. 4.6 days (p< 0.001) and a mean postoperative catheterization of 4.1 days vs. 10 days for adenomectomy (p< 0.001). During follow-up, ED was found in 4 patients (10%) in the HoLEP group and in 7 (13.7%) in the adenomectomy group.In patients with prostate volumes <90cc, HoLEP showed a mean improvement in Qmax at 6-12 months of 23.2 mL/s vs. 14.35 mL/s in the TURP group (p=0.001), a mean hospital stay of 1.71 days vs. 2 days (p=0.072) and a mean postoperative catheterization of 3.9 days vs. 3.97 days in the TURP group (p=0.83). As for the occurrence of ED during follow-up, it was found in 8 patients (15%) treated by HoLEP and in 3 patients (7.8%) treated by TURP. CONCLUSIONS: HoLEP had a greater uroflowmetry improvement compared to open adenomectomy and TURP (p=0.03 and p=0.001 respectively). The mean hospital stay and postoperative catheterization days were reduced compared to open adenomectomy, but there were no differences in this aspect with TURP. Source of Funding: No source of funding © 2022 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 207Issue Supplement 5May 2022Page: e1037 Advertisement Copyright & Permissions© 2022 by American Urological Association Education and Research, Inc.MetricsAuthor Information Miguel Beltran More articles by this author Yoni Pallas More articles by this author Ivan Povo More articles by this author Sara Mitjana More articles by this author Kevin Rechi More articles by this author Marta Diranzo More articles by this author Fernando Martinez More articles by this author Rosa Gras More articles by this author Emilio Lopez More articles by this author Expand All Advertisement PDF DownloadLoading ...