Holmium laser enucleation of a 696 cc prostate (HoLEP): The largest reported in the literature

Laser enucleation of the prostate represents the endoscopic response to open simple prostatectomy for the treatment of large benign prostatic hyperplasia (BPH) and an advanced technique for prostate surgery. To date, no more than 20 cases of giant prostatic hyperplasia (GPH) have been reported in th...

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Bibliographic Details
Published in:Urology case reports 2022-11, Vol.45, p.102203, Article 102203
Main Authors: Borojeni, Shahed, Kosseifi, Fares, Dallongeville, Axel, Durand, Xavier
Format: Article
Language:English
Subjects:
BPH
Endourology
HoLEP
Male LUTS
Prostate
World record
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Summary:Laser enucleation of the prostate represents the endoscopic response to open simple prostatectomy for the treatment of large benign prostatic hyperplasia (BPH) and an advanced technique for prostate surgery. To date, no more than 20 cases of giant prostatic hyperplasia (GPH) have been reported in the literature. We report a successful holmium laser enucleation of a 696 cc prostate in a 78 year-old patient on anticoagulation that was embolized prior to the intervention, urinary catheter was removed on the first day post-operatively and the patient was discharged home on the second day. This is considered the largest prostate treated endoscopically. •HoLEP is feasible for GPH and is thus volume independent.•HoLEP is a safe and a less morbid alternative for open simple prostatectomy.•Multidisciplinary discussion and approaches are needed even for non-oncological cases.•Six hundred and ninety-sixth grams is now the world Record for HoLEP.
ISSN:2214-4420
2214-4420
DOI:10.1016/j.eucr.2022.102203