Holmium laser enucleation of the prostate for men with urinary retention.
OBJECTIVE
Holmium laser enucleation of the prostate (HoLEP) is an established procedure for the treatment of patients with benign prostatic hyperplasia. We performed a study to examine a group of patients in urinary retention treated by HoLEP.


METHODS
A retrospective analysis of 164 consecutive patients with urinary retention who underwent HoLEP between January 2000 and August 2004 was performed.


RESULTS
Mean patient age was 72.1 years (range 34 to 95). Mean duration of urinary retention was 28.9 days (range 2 to 365). Mean preoperative transrectal ultrasound measured prostate volume was 107.1 cc (range 5 to 242). Mean weight of resected tissue was 81.9 grams (range 2.5 to 271). Mean duration of postoperative catheterization and hospitalization was 22.5 hours (range 2 to 240) and 33.7 hours (range 2 to 144), respectively. All patients were able to void following treatment and remain catheter free.


CONCLUSIONS
HoLEP is an effective treatment, with low morbidity, for patients with urinary retention. These results suggest that HoLEP may be the ideal treatment for men with urinary retention due to benign prostatic obstruction.
Peterson
Matthew D
MD
Methodist Hospital/Clarian Health Partners, and Indiana University School of Medicine, Indianapolis, Indiana 46202, USA.
Matlaga
Brian R
BR
Kim
Samuel C
SC
Kuo
Ramsay L
RL
Soergel
Trevor M
TM
Watkins
Stephanie L
SL
Lingeman
James E
JE
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005500:Follow-Up Studies; D006417:Hematuria / Q000209:etiology; D006695:Holmium; D006801:Humans; D053685:Laser Therapy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D011468:Prostatectomy / Q000379:methods*; D012189:Retrospective Studies; D016896:Treatment Outcome; D001748:Urinary Bladder Neck Obstruction / Q000601:surgery*; D014549:Urinary Incontinence / Q000209:etiology; D016055:Urinary Retention / Q000601:surgery*; D014563:Urodynamics / Q000502:physiology
D006695:Holmium