Efficacy of Holmium Laser Enucleation of the Prostate in Patients with a Small Prostate (≤30 mL)
The World Journal of Men's Health
;
: 163-169, 2017.
Article
in English
| WPRIM
| ID: wpr-222837
ABSTRACT
PURPOSE:
We investigated the effects of holmium laser enucleation of the prostate (HoLEP) in patients with a small prostate (≤30 mL) in whom medical treatment was ineffective. MATERIALS ANDMETHODS:
Data from 132 patients who underwent HoLEP by a single surgeon between 2012 and 2015 were retrospectively analyzed. All patients received benign prostatic hyperplasia medication for at least 6 months before surgery. The patients were divided into 2 groups according to prostate size group 1, ≤30 mL (n=30); and group 2, >30 mL (n=102). Clinical characteristics and the International Prostate Symptom Score (IPSS), including quality of life (QoL), peak urinary flow rate (Qmax), and postvoid residual urine (PVR), before surgery and 3 months postoperatively, were compared between the 2 groups.RESULTS:
In group 1, the IPSS, QoL, and PVR significantly decreased and the Qmax significantly increased 3 months after surgery. The voiding subscore also significantly decreased 3 months after surgery (p < 0.001), but the storage subscore was not significantly different (p=0.055). In group 2, hemoglobin, the IPSS, QoL, and PVR significantly decreased and the Qmax significantly increased 3 months after surgery. In these patients, both the storage subscore and voiding subscore significantly decreased after surgery (both p < 0.001). There were no significant differences between the groups in hemoglobin, IPSS, QoL, Qmax, and PVR either before or 3 months after surgery.CONCLUSIONS:
When other medical treatments are ineffective, HoLEP is an effective intervention for patients with a small prostate.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Prostate
/
Prostatic Hyperplasia
/
Quality of Life
/
Retrospective Studies
/
Treatment Outcome
/
Transurethral Resection of Prostate
/
Lasers, Solid-State
/
Holmium
Type of study:
Observational study
Limits:
Humans
Language:
English
Journal:
The World Journal of Men's Health
Year:
2017
Type:
Article
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