Our clinic’s first experience with HoLEP

Abstract

ABSTRACTOBJECTIVE: The present study reports a retrospective evaluation of the first Holmium laser prostate enucleation (HoLEP)cases and their results in our clinic.METHODS: Twenty four patients who underwent HoLEP surgery between April 2017 and November 2017 were evaluated fordemographic characteristics, duration of operation, amount of hemorrhage, amount of energy used, tissue weight removed,catheterization time and complications. IPSS and uroflowmetry results were compared before and after the surgery.RESULTS: Patients with hemoglobin, IPSS, uroflowmetry, and voiding speeds (Qmean, Qmax) were compared before andafter the surgery. There was a significant difference in IPSS, Qmean and hemoglobin values but not in Qmax, statistically. Ourcomplications rates were correlated with the literature.CONCLUSION: HoLEP stands out as a surgical method that can be applied with high confidence in the treatment of benignprostatic hyperplasia and it has similar functional results to gold standard surgeries, causes fewer complications, improvespatient comfort due to short catheterization and hospitalization and is more advantageous regarding cost.