Holmium laser enucleation of the prostate versus open prostatectomy for prostates >70 g : 24-month follow-up

Prospectively evaluate perioperative outcomes and 2-yr follow-up after holmium laser enucleation (HoLEP) and standard open prostatectomy (OP) for treating benign prostatic hyperplasia-related obstructed voiding symptoms, with prostates >70 g. From March 2003 to December 2004, 80 consecutive patie...

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Bibliographic Details
Published in:European urology 2006-09, Vol.50 (3), p.563-568
Main Authors: NASPRO, Richard, SUARDI, Nazareno, MONTORSI, Francesco, SALONIA, Andrea, SCATTONI, Vincenzo, GUAZZONI, Giorgio, COLOMBO, Renzo, CESTARI, Andrea, BRIGANTI, Alberto, MAZZOCCOLI, Bruno, RIQATTI, Patrizio
Format: Article
Language:English
Subjects:
Adenocarcinoma - diagnosis
Adenocarcinoma - surgery
Aged
Biological and medical sciences
Follow-Up Studies
Gynecology. Andrology. Obstetrics
Holmium - therapeutic use
Humans
Laser Therapy - methods
Male
Male genital diseases
Medical sciences
Middle Aged
Morbidity
Nephrology. Urinary tract diseases
Organ Size
Perioperative Care
Postoperative Complications - epidemiology
Prostate - pathology
Prostatectomy - methods
Prostatic Hyperplasia - diagnosis
Prostatic Hyperplasia - pathology
Prostatic Hyperplasia - surgery
Prostatic Neoplasms - diagnosis
Prostatic Neoplasms - surgery
Radioisotopes - therapeutic use
Tumors
Tumors of the urinary system
Urinary Bladder Neck Obstruction - surgery
Urinary tract. Prostate gland
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Summary:Prospectively evaluate perioperative outcomes and 2-yr follow-up after holmium laser enucleation (HoLEP) and standard open prostatectomy (OP) for treating benign prostatic hyperplasia-related obstructed voiding symptoms, with prostates >70 g. From March 2003 to December 2004, 80 consecutive patients were randomised for surgical treatment with HoLEP (n=41) or standard OP (n=39). All patients were preoperatively assessed with International Prostate Symptom Score and International Index of Erectile Function questionnaires and complete urodynamic evaluation. Intraoperative and perioperative parameters such as blood loss, catheter removal, and hospital stays were assessed. Early and late complications were recorded. Patients were evaluated at 1-, 3-, 12-, and 24-mo follow-ups with the same tests. Operating room time was significantly shorter for the OP group (72.09+/-21.22 min vs. 58.31+/-11.95 min, p
ISSN:0302-2838
1873-7560
DOI:10.1016/j.eururo.2006.04.003