to evaluate the effectiveness and applicability of Holmium laser enucleation of the prostate (HoLEP) - in the treatment of benign prostatic hyperplasia (BPH) - in comparison to transurethral resection of the prostate (TURP).
patients with symptomatic prostatic hyperplasia and candidates for surgical treatment were selected. Both procedures were explained and they had choosen HoLEP or TURP. At the hospital were collected: age, date of birth, international prostate symptom score, urinary peak flow rate, prostate volume, post-voiding residual urine, globular volume and serum PSA. At the procedure operating time, morcellating time (HoLEP), bladder mucosal injury and intercurrences were collected. At the first postoperative day, globular volume and sodium. Besides that were observed the catheter indwelling time and hospital stay and after 90 days, urinary peak flow rate and international prostate symptom score. Statistical analisys have been done partially by Sinpe(r) and also by a professional team.
twenty patients in HoLEP group and 21 at TURP were operated. Baseline urinary peak flow rate was 8 ml/s in both groups and preoperative international prostate symptom score was 22 in HoLEP and 20 in TURP, very similar. Operative time was 85 minutes in HoLEP and 60 in TURP, p
HoLEP is a feasible technique and is as effective as TURP on symptomatic prostatic hyperplasia surgical treatment.
Revista do Colégio Brasileiro de Cirurgiões. 2015 Jun [Epub]
Luís Eduardo Durães Barboza, Osvaldo Malafaia, Luiz Edison Slongo, Fernando Meyer, Paulo Afonso Nunes Nassif, Fernando Issamu Tabushi, Eduardo Wendler, Rafael Alexandre Beraldi
Faculdade Evangélica do Paraná, Curitiba, PR, BR. , Hospital de Clínicas, Universidade Federal do Paraná, PR, BR. , Pontifícia Universidade Católica do Paraná, BR. , Faculdade Evangélica do Paraná, Curitiba, PR, BR. , Faculdade Evangélica do Paraná, Curitiba, PR, BR. , Faculdade Evangélica do Paraná, Curitiba, PR, BR. , Faculdade Evangélica do Paraná, Curitiba, PR, BR. , Faculdade Evangélica do Paraná, Curitiba, PR, BR.