MP19-20 A COMPARATIVE STUDY BETWEEN HOLMIUM LASER ENUCLEATION OF THE PROSTATE AND TRANSURETHRAL RESECTION OF THE PROSTATE

Abstract

You have accessJournal of UrologyBenign Prostatic Hyperplasia: Basic Research1 Apr 2014MP19-20 A COMPARATIVE STUDY BETWEEN HOLMIUM LASER ENUCLEATION OF THE PROSTATE AND TRANSURETHRAL RESECTION OF THE PROSTATE Mohamed Etafy, Atef Hamouda, and Gamal Morsi Mohamed EtafyMohamed Etafy More articles by this author , Atef HamoudaAtef Hamouda More articles by this author , and Gamal MorsiGamal Morsi More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.02.721AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Background: This was a prospective randomized clinical trial to compare the safety and efficacy of holmium laser enucleation of prostate and transurethral resection of the prostate for surgical treatment of patients with bladder outlet obstruction due to benign prostatic hyperplasia. METHODS From December 2009 to October 2010, 60 consecutive patients with lower urinary tract obstruction (LUTs) due to BPH were randomized to either surgical treatment with HoLEP (group 1, n=30) or standard TURP (group 2, N=30). Preoperative assessments included American Urological Association (AUA) symptom score. Serum prostate-specific antigen, (PSA), post void residual urine volume (PVR), transrectal ultrasound (TRUS) and uroflowmetry. Perioperative parameters included total operating time, resected tissue weight, hemoglobin loss, presence or absence of blood transfusion, time of catheter removal, duration of hospital stay. Postoperative evaluations were conducted at 1,3,6, and 12 months. RESULTS Patients in the HOLEP group had shorter catheterization time, and hospital stay, but longer operating time. Mean hemoglobin loss was lower in the HOLEP group (0.900 ±0.419 g/dl versus 1.157± 0.918g/dl). The follow up results up to 12 month regarding AUA symptom score, PVR urine volume and Q-max showed that both group were comparable. Complications were similar with 2 procedure with no sign fiancé difference. CONCLUSIONS HOLEP proved to be safe and highly effective technique for surgical treatment of bladder outlet obstruction due to BPH. © 2014FiguresReferencesRelatedDetails Volume 191Issue 4SApril 2014Page: e196 Peer Review Report Advertisement Copyright & Permissions© 2014MetricsAuthor Information Mohamed Etafy More articles by this author Atef Hamouda More articles by this author Gamal Morsi More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...