title: Holmium laser enucleation of the prostate is effective in the treatment of symptomatic benign prostatic hyperplasia of any size including a small prostate.
abstract: OBJECTIVE
  Although transurethral resection of the prostate (TURP) is considered the standard surgical treatment for benign prostatic hyperplasia (BPH), Holmium laser enucleation of the prostate (HoLEP) is replacing TURP. We compared TURP with HoLEP with matching for prostate size.
  
  
  METHODS
  We retrospectively reviewed the medical charts of patients who underwent TURP and HoLEP performed by one surgeon at our institute. All patients were categorized into 3 groups on the basis of prostate size (group 1, <40 g; group 2, 40-79 g; and group 3, >80 g), and 45 patients were selected for each method.
  
  
  RESULTS
  No major intraoperative complications were encountered. The mean resected tissue weight was 6.3, 18.3, and 28.0 g for groups 1, 2, and 3, respectively, for TURP and 8.7, 25.0, and 39.8 g, respectively, for HoLEP. The mean operation time was 51.8, 89.3, and 101.9 minutes for TURP and 83.6, 122.8, and 131.2 minutes for HoLEP in groups 1, 2, and 3, respectively. HoLEP had better resection efficacy than TURP for any size prostate, but there was no statistical difference between the methods. Both methods resulted in an immediate and significant improvement of International Prostate Symptom Score, peak urinary flow rates, and postvoid residual urine volume.
  
  
  CONCLUSIONS
  HoLEP is effective for BPH treatment, regardless of prostate size, even in a small prostate. The perioperative morbidity of HoLEP is also comparable to that of TURP.
authors.affiliation: Department of Urology, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.
authors.forename: Min Ho
authors.initials: MH
authors.lastname: Lee
authors.affiliation: Department of Urology, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.
authors.forename: Hee Jo
authors.initials: HJ
authors.lastname: Yang
authors.affiliation: Department of Urology, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.
authors.forename: Doo Sang
authors.initials: DS
authors.lastname: Kim
authors.affiliation: Department of Urology, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.
authors.forename: Chang Ho
authors.initials: CH
authors.lastname: Lee
authors.affiliation: Department of Urology, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.
authors.forename: Youn Soo
authors.initials: YS
authors.lastname: Jeon
mesh_terms: D000368:Aged; D005500:Follow-Up Studies; D006801:Humans; D053685:Laser Therapy / Q000379:methods*; D053844:Lasers, Solid-State / Q000627:therapeutic use*; D008297:Male; D061646:Operative Time; D009929:Organ Size; D011467:Prostate / Q000473:pathology*; D011470:Prostatic Hyperplasia / Q000601:surgery*; D012189:Retrospective Studies; D020728:Transurethral Resection of Prostate / Q000379:methods*; D016896:Treatment Outcome
keywords: Holmium; Prostate hyperplasia; Transurethral resection of prostate