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Glybochko, Petr V.; Rapoport, Leonid M.; Enikeev, Mikhail E.; Enikeev, Dmitry V.

Holmium Laser Enucleation of the Prostate (HoLEP) for Small, Large and Giant Prostatic Hyperplasia: Tips and Tricks

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  • Medientyp: E-Artikel
  • Titel: Holmium Laser Enucleation of the Prostate (HoLEP) for Small, Large and Giant Prostatic Hyperplasia: Tips and Tricks
  • Beteiligte: Glybochko, Petr V.; Rapoport, Leonid M.; Enikeev, Mikhail E.; Enikeev, Dmitry V.
  • Erschienen: SAGE Publications, 2017
  • Erschienen in: Urologia Journal
  • Sprache: Englisch
  • DOI: 10.5301/uj.5000232
  • ISSN: 0391-5603; 1724-6075
  • Entstehung:
  • Anmerkungen:
  • Beschreibung: <jats:sec><jats:title>Introduction</jats:title><jats:p> Holmium laser enucleation of the prostate (HoLEP) allows to treat extremely large prostates (&gt;200 cm<jats:sup>3</jats:sup>). The aim of the study was to compare the efficiency of HoLEP for prostates of different sizes. </jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p> Four hundred and fifty-nine patients were divided into three groups: group 1 included 278 patients (&lt;100 cm<jats:sup>3</jats:sup>); group 2 included 169 patients (100-200 cm<jats:sup>3</jats:sup>); group 3 included 12 patients (&gt;200 cm<jats:sup>3</jats:sup>). </jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p> The duration of enucleation in group 1 was 56.5 ± 10.7 min; in group 2 was 96.4 ± 24.9 min; in group 3 was 120.9 ± 35 min. The duration of morcellation in group 1 was 37.5 ± 7.3 min; in group 2 was 63.3 ± 11.2 min; in group 3 was 84.0 ± 25.6 min. The enucleation efficiency in group 3 (1.70 g/min) was higher (p&lt;0.05) than in group 1 (1.05 g/min) and group 2 (1.23 g/min). Morcelation efficiency was lower in groups 1 and 2 (1.58 and 1.87 g/min, respectively) than in group 3 (2.45 g/min) (p&lt;0.05). Follow-up period lasted 18 months. There were no significant differences (p&gt;0.05) in International Prostate Symptom Score, Qmax, quality of life and postvoid residual volume for 1, 3, 6, 12 and 18 months after surgery. </jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p> HoLEP is a safe, highly efficacious and a size-independent procedure. </jats:p></jats:sec>