[Transurethral holmium laser enucleation for prostate adenoma greater than 100 g].
OBJECTIVE
To evaluate the effect of transurethral holmium laser enucleation of the prostate (HoLEP) for prostate adenoma greater than 100 g.


METHODS
Sixty BPH patients with the prostate larger than 100 g were randomized to two treatment groups of HoLEP (n = 32) and open prostatectomy (n = 28). Comparisons were made between the two groups in operating time, blood loss, bladder irrigating time, catheterization time and hospital stay, as well as in the international prostate symptom score (IPSS), quality of life (QOL) score, maximum urinary flow rate (Qmax) and postvoid residual volume (PVR) before and 3 months after the surgery.


RESULTS
Compared with the open prostatectomy group, the operating time was significantly longer (P < 0.01) but the blood loss, mean bladder irrigating time, catheterization time and hospital stay were significantly less in the HoLEP group (P < 0.01). Three-month follow-up revealed that HoLEP and open prostatectomy resulted in a similarly significant improvement in IPSS, QOL, Qmax and PVR (P < 0.01 ), with no statistical difference between the two groups (P > 0.05).


CONCLUSIONS
HoLEP and open prostatectomy are equally effective procedures for removal of large prostate adenomas, but the former is a better surgical option for prostate adenomas larger than 100 g for its greater safety, less pain and faster recovery.
Zhang
Yong
Y
Department of Urology, the 2nd Hosptital Affiliated to Zhejiang University School of Medicine, Hangzhou, Zhejiang 310009, China. Zhangyong251X@163.com
Du
Chuan-Jun
CJ
Xu
Gang
G
Chen
Ji-Ming
JM
Jing
Xiao
X
D000368:Aged; D006695:Holmium; D006801:Humans; D053685:Laser Therapy; D008297:Male; D011467:Prostate / Q000601:surgery*; D011468:Prostatectomy / Q000379:methods*; D011470:Prostatic Hyperplasia / Q000601:surgery*; D020728:Transurethral Resection of Prostate / Q000379:methods*; D016896:Treatment Outcome
D006695:Holmium